Crescent St Obgyn Llc in Middletown - Nurse Practitioner

Crescent St Obgyn Llc - NPI 1184884355

Crescent St Obgyn Llc is a Nurse Practitioner in Middletown, Connecticut. Crescent St Obgyn Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Crescent St Obgyn Llc is 1184884355. The last update date is 2008-06-11.

Crescent St Obgyn Llc's current location address is 49 Crescent St, Middletown, Connecticut. You can contact this provider via phone number 8603449993. The mailing address for Crescent St Obgyn Llc is 49 Crescent St, Middletown, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Crescent St Obgyn Llc
Address 49 Crescent St, Middletown, Connecticut
Phone Number 8603449993
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Flagg S Julie
Credentials MD
Telephone Number 8603449993

NPI Number Detail

NPI Number 1184884355
Provider Enumeration Date 2008-06-11
Last Updated Date 2008-06-11

Provider Mailing Address Detail

Address 49 Crescent St
City Middletown
State Connecticut (CT)
Post Code 64573601
Phone Number 8603449993
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 2684
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4236924 CT --

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FAQs about Crescent St Obgyn Llc

What is the unique 10-digit identifier code assigned to Crescent St Obgyn Llc by the Centers for Medicare & Medicaid Services?

The Crescent St Obgyn Llc has been issued the NPI (National Provider Identifier) 1184884355 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Crescent St Obgyn Llc?

The Crescent St Obgyn Llc is situated at 49 Crescent St, in the city of Middletown, state of CT, with the zip code 64573601.

What is Crescent St Obgyn Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Crescent St Obgyn Llc is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

When did the Crescent St Obgyn Llc receive its 1184884355?

The Crescent St Obgyn Llc was issued its 1184884355 on 2008-06-11, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Crescent St Obgyn Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Crescent St Obgyn Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-11.

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