Mahalia T Dejesus is a Family in Trumbull, Connecticut. Mahalia T Dejesus practices all healthcare services and medical treatments related to Family. The NPI Number for Mahalia T Dejesus is 1578512323. The last update date is 2022-02-18.
Mahalia T Dejesus's current location address is 7 Cambridge Dr Ste 201, Trumbull, Connecticut. You can contact this provider via phone number 2033350195 and fax number 2033357293. The mailing address for Mahalia T Dejesus is 7 Cambridge Dr Ste 201, Trumbull, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mahalia T Dejesus |
|---|---|
| Address | 7 Cambridge Dr Ste 201, Trumbull, Connecticut |
| Phone Number | 2033350195 |
| Fax Number | 2033357293 |
| Sole Proprietor | Y |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1578512323 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2022-02-18 |
Provider Mailing Address Detail
| Address | 7 Cambridge Dr Ste 201 |
|---|---|
| City | Trumbull |
| State | Connecticut (CT) |
| Post Code | 66114763 |
| Phone Number | 2033350195 |
| Fax Number | 2033357293 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 3347 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1578512323 | CT | -- | |
| 4261799 | CT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mahalia T Dejesus by the Centers for Medicare & Medicaid Services?
The Mahalia T Dejesus has been issued the NPI (National Provider Identifier) 1578512323. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mahalia T Dejesus?
The Mahalia T Dejesus is situated at 7 Cambridge Dr Ste 201, in the city of Trumbull, state of CT, with the zip code 66114763.
What is the Mahalia T Dejesus's specialty and taxonomy code?
The Mahalia T Dejesus's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578512323 to Mahalia T Dejesus?
The Centers for Medicare & Medicaid Services assigned the 1578512323 to Mahalia T Dejesus on 2006-05-09.
When was the information regarding Mahalia T Dejesus, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mahalia T Dejesus, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-18.