SHIRLEY JOSEPH APRN NPI 1760921647

NPI Information

NPI: 1760921647
Provider Name: SHIRLEY JOSEPH, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1389 W MAIN ST STE 302
WATERBURY, CT
ZIP 06708
Phone: (203) 687-5668
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Shirley Joseph, APRN is a psychiatric/mental health nurse practitioner in Waterbury, CT. Shirley Joseph, APRN NPI is 1760921647. 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:

1389 W MAIN ST STE 302
WATERBURY, CT
ZIP 06708-115
Phone: (203) 687-5668
Fax: (860) 489-2604

The NPI 1760921647 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 2/13/2017 and was last updated on 9/23/2021.

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		093616	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	006959	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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