Kathleen A Ennis in Cos Cob - Family

Kathleen A Ennis - NPI 1750417358

Kathleen A Ennis is a Family in Cos Cob, Connecticut. Kathleen A Ennis practices all healthcare services and medical treatments related to Family. The NPI Number for Kathleen A Ennis is 1750417358. The last update date is 2011-09-19.

Kathleen A Ennis's current location address is 30 Orchard St, Cos Cob, Connecticut. You can contact this provider via phone number 2032532225 and fax number 2038694421. The mailing address for Kathleen A Ennis is 30 Orchard St, Cos Cob, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen A Ennis
Address 30 Orchard St, Cos Cob, Connecticut
Phone Number 2032532225
Fax Number 2038694421
Sole Proprietor N
Credentials APRN, DNPC

NPI Number Detail

NPI Number 1750417358
Provider Enumeration Date 2007-02-26
Last Updated Date 2011-09-19

Provider Mailing Address Detail

Address 30 Orchard St
City Cos Cob
State Connecticut (CT)
Post Code 68072403
Phone Number 2032532225
Fax Number 2038694421

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 1317
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500000270 CT --

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FAQs about Kathleen A Ennis

What is the unique 10-digit identification code assigned to Kathleen A Ennis by the Centers for Medicare & Medicaid Services?

The Kathleen A Ennis has been issued the NPI (National Provider Identifier) 1750417358, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kathleen A Ennis is physically located?

The Kathleen A Ennis is physically situated at the following address: 30 Orchard St, Cos Cob, CT, 68072403.

What is the Kathleen A Ennis's specialty and taxonomy code?

The Kathleen A Ennis's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1750417358 to Kathleen A Ennis?

The Kathleen A Ennis received its 1750417358 assignment from the Centers for Medicare & Medicaid Services on 2007-02-26.

As of what date were the details pertaining to Kathleen A Ennis last refreshed?

The information related to the Kathleen A Ennis, including its address, specialty, and other relevant details, was last updated on 2011-09-19.

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