MRS. MIRLENE POLYCARPE FNP DNP NPI 1821667452

NPI Information

  • NPI: 1821667452
  • Provider Name: MRS. MIRLENE POLYCARPE, FNP, DNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50 EASTBURY HILL DR
    MIDDLETOWN, CT
    ZIP 06457
  • Phone: (860) 834-0479

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NPI Details

MRS. Mirlene Polycarpe, FNP, DNP is a family nurse practitioner in Middletown, CT with 5 years of experience. MRS. Mirlene Polycarpe, FNP, DNP NPI is 1821667452. 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:

50 EASTBURY HILL DR
MIDDLETOWN, CT
ZIP 06457-755
Phone: (860) 834-0479

The NPI 1821667452 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 6/18/2021 and was last updated on 10/18/2021.

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
1363LF0000XNurse PractitionerFamily9761CONNECTICUTYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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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