ASENA DEROHANNESIAN NPI 1043685308

NPI Information

  • NPI: 1043685308
  • Provider Name: ASENA DEROHANNESIAN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 425 THORME ST
    BRIDGEPORT, CT
    ZIP 06606
  • Phone: (203) 275-4115

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NPI Details

Asena Derohannesian is a pediatrics nurse practitioner in Bridgeport, CT. Asena Derohannesian NPI is 1043685308. 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:

425 THORME ST
BRIDGEPORT, CT
ZIP 06606-418
Phone: (203) 275-4115
Fax: (203) 275-0198

The NPI 1043685308 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 12/11/2015 and was last updated on 10/17/2018.

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
1363LP0200XNurse PractitionerPediatrics6410CONNECTICUTYes

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: 11/21/2025

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