MS. EILEEN MALUMPHY WIDGER APRN BC NPI 1194776120

NPI Information

NPI: 1194776120
Provider Name: MS. EILEEN MALUMPHY WIDGER, APRN, BC
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
555 WILLARD AVE
NEWINGTON, CT
ZIP 06111
Phone: (860) 594-6355
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MS. Eileen Malumphy Widger, APRN, BC is a psychiatric/mental health and adult clinical nurse specialist in Newington, CT. MS. Eileen Malumphy Widger, APRN, BC NPI is 1194776120. 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:

555 WILLARD AVE
NEWINGTON, CT
ZIP 06111-631
Phone: (860) 594-6355
Fax: (860) 667-6872

The enumeration date for this NPI number is 5/15/2006 and was last updated on 7/11/2007.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	E30253	CONNECTICUT	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	001432	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: 4/28/2024

NPI Synchronization or Removal

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