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ALIX REBECCA WILDER MCKENNA APRN NPI 1841832391


NPI Information

NPI: 1841832391
Provider Name: ALIX REBECCA WILDER MCKENNA, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
800 HOWARD AVENUE
NEW HAVEN, CT
ZIP 06519
Phone: (877) 925-3637
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Alix Rebecca Wilder Mckenna, APRN is a family nurse practitioner in New Haven, CT with 7 years of experience. Alix Rebecca Wilder Mckenna, APRN NPI is 1841832391. 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:

800 HOWARD AVENUE
NEW HAVEN, CT
ZIP 06519
Phone: (877) 925-3637

The NPI 1841832391 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 10/16/2019 and was last updated on 5/1/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse147866CONNECTICUTNo
2363LF0000XNurse PractitionerFamily8596CONNECTICUTYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.