MOBILE FAMILY HEALTH NURSE PRACTITIONER CARE PLLC NPI 1942512694

NPI Information

NPI: 1942512694
Provider Name: MOBILE FAMILY HEALTH NURSE PRACTITIONER CARE PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
30 STILL HILL RD
SANDY HOOK, CT
ZIP 06482
Phone: (845) 641-7277
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MOBILE FAMILY HEALTH NURSE PRACTITIONER CARE PLLC is a family nurse practitioner in Sandy Hook, CT. MOBILE FAMILY HEALTH NURSE PRACTITIONER CARE PLLC NPI is 1942512694. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 STILL HILL RD
SANDY HOOK, CT
ZIP 06482-313
Phone: (845) 641-7277
Fax: (203) 304-1048

The provider's authorized official is Ann M. Rhodes .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (845) 641-7277.

The enumeration date for this NPI number is 7/10/2010 and was last updated on 3/27/2015.

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	363LF0000X	Nurse Practitioner	Family	F333112-1	NEW YORK	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	03217461	MEDICAID	NEW YORK
2	P43628	MEDICARE UPIN	NEW YORK

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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