ELIZABETH DAVOREN NP NPI 1316945611

NPI Information

NPI: 1316945611
Provider Name: ELIZABETH DAVOREN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3 PROSPECT ST
VERNON, CT
ZIP 06066
Phone: (860) 896-1616
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Elizabeth Davoren, NP is a family nurse practitioner in Vernon, CT. Elizabeth Davoren, NP NPI is 1316945611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3 PROSPECT ST
VERNON, CT
ZIP 06066-125
Phone: (860) 896-1616

The NPI 1316945611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 10/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	002950	CONNECTICUT	No
2	363LF0000X	Nurse Practitioner	Family	002950	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q47085	MEDICARE UPIN
2	500001502	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
3	004236346	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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