MRS. AVALON DIBNER FENNESSEY CPNP-PC NPI 1487083978

NPI Information

NPI: 1487083978
Provider Name: MRS. AVALON DIBNER FENNESSEY, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
120 CONNECTICUT AVE
NORWALK, CT
ZIP 06854
Phone: (203) 899-1770
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MRS. Avalon Dibner Fennessey, CPNP-PC is a pediatrics nurse practitioner in Norwalk, CT. MRS. Avalon Dibner Fennessey, CPNP-PC NPI is 1487083978. 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:

120 CONNECTICUT AVE
NORWALK, CT
ZIP 06854-525
Phone: (203) 899-1770

The enumeration date for this NPI number is 11/5/2013 and was last updated on 9/30/2014.

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	163W00000X	Registered Nurse		113331	CONNECTICUT	No
2	163W00000X	Registered Nurse		L1-0042593	DELAWARE	No
3	163W00000X	Registered Nurse		RN61411	MAINE	No
4	163W00000X	Registered Nurse		RN634654	PENNSYLVANIA	No
5	363LP0200X	Nurse Practitioner	Pediatrics	5598	CONNECTICUT	Yes

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: 11/14/2023

NPI Synchronization or Removal

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