MRS. ERIN KATHLEEN BAMBACK FNP NPI 1528834983

NPI Information

NPI: 1528834983
Provider Name: MRS. ERIN KATHLEEN BAMBACK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
30 LAFAYETTE SQ STE 109
VERNON, CT
ZIP 06066
Phone: (860) 454-0303
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MRS. Erin Kathleen Bamback, FNP is a family nurse practitioner in Vernon, CT with 2 years of experience. MRS. Erin Kathleen Bamback, FNP NPI is 1528834983. 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:

30 LAFAYETTE SQ STE 109
VERNON, CT
ZIP 06066-554
Phone: (860) 454-0303

The NPI 1528834983 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 11/28/2023 and was last updated on 1/16/2024.

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		135987	CONNECTICUT	No
2	163W00000X	Registered Nurse		722804	NEW YORK	No
3	363LF0000X	Nurse Practitioner	Family	352692	NEW YORK	No
4	363LF0000X	Nurse Practitioner	Family	12298	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: 5/5/2024

NPI Synchronization or Removal

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