MICHAEL OTOOLE DNP APRN LLC NPI 1881108496

NPI Information

NPI: 1881108496
Provider Name: MICHAEL OTOOLE DNP APRN LLC

Doing Business As: MICHAEL OTOOLE LLC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2505 MAIN ST STE 208
STRATFORD, CT
ZIP 06615
Phone: (203) 368-4291
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MICHAEL OTOOLE DNP APRN LLC is a psychiatric/mental health nurse practitioner in Stratford, CT. MICHAEL OTOOLE DNP APRN LLC NPI is 1881108496. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Michael Otoole Llc.

The provider's business location address is:

2505 MAIN ST STE 208
STRATFORD, CT
ZIP 06615-813
Phone: (203) 368-4291

The provider's authorized official is Michael Otoole .
The authorized official title is Owner and has the following contact phone number (203) 515-8185.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 11/20/2017.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	007178	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004069985	MEDICAID	CONNECTICUT

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: 11/14/2023

NPI Synchronization or Removal

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