HEIDI W NOLAN PA-C NPI 1578564597

NPI Information

NPI: 1578564597
Provider Name: HEIDI W NOLAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
874 HOWARD AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 688-8200
Get Directions

Heidi W Nolan, PA-C is a medical physician assistant in New Haven, CT. Heidi W Nolan, PA-C NPI is 1578564597. 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:

874 HOWARD AVE
NEW HAVEN, CT
ZIP 06519-106
Phone: (203) 688-8200
Fax: (203) 688-8204

The NPI 1578564597 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 8/2/2005 and was last updated on 3/27/2017.

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	363AM0700X	Physician Assistant	Medical	000279	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	Other Provider Identifier Issuer
1	290000279CT03	OTHER	CONNECTICUT	ANTHEM BC/BS
2	368792	OTHER	CONNECTICUT	WELLCARE OF CT
3	061561581	OTHER	CONNECTICUT	UNITED HEALTHCARE
4	008037010	MEDICAID	CONNECTICUT
5	D400015706	MEDICARE PIN	CONNECTICUT
6	970013793	OTHER	CONNECTICUT	RAIL ROAD MEDICARE
7	P2364340	OTHER	CONNECTICUT	OXFORD
8	279001	OTHER	CONNECTICUT	CONNECTICARE
9	0Q2938	OTHER	CONNECTICUT	HEALTH NET

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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