Shawn Robert Putnam in West Hartford - Family

Shawn Robert Putnam - NPI 1033150719

Shawn Robert Putnam is a Family in West Hartford, Connecticut. Shawn Robert Putnam practices all healthcare services and medical treatments related to Family. The NPI Number for Shawn Robert Putnam is 1033150719. The last update date is 2010-01-29.

Shawn Robert Putnam's current location address is 1801 Asylum Ave, West Hartford, Connecticut. You can contact this provider via phone number 8607930500 and fax number 8607931116. The mailing address for Shawn Robert Putnam is 1801 Asylum Ave, West Hartford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Shawn Robert Putnam
Address 1801 Asylum Ave, West Hartford, Connecticut
Phone Number 8607930500
Fax Number 8607931116
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1033150719
Provider Enumeration Date 2006-06-10
Last Updated Date 2010-01-29

Provider Mailing Address Detail

Address 1801 Asylum Ave
City West Hartford
State Connecticut (CT)
Post Code 61172602
Phone Number 8607930500
Fax Number 8607931116

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 257127
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
3V3059 CT HEALTHNET PROVIDER #
1033150719 CT MEDICARE NPI

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FAQs about Shawn Robert Putnam

What is the unique 10-digit identification code assigned to Shawn Robert Putnam by the Centers for Medicare & Medicaid Services?

The Shawn Robert Putnam has been issued the NPI (National Provider Identifier) 1033150719, which 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 Shawn Robert Putnam?

The Shawn Robert Putnam is situated at 1801 Asylum Ave, in the city of West Hartford, state of CT, with the zip code 61172602.

What is Shawn Robert Putnam's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shawn Robert Putnam is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Shawn Robert Putnam receive the assignment of its 1033150719 from the Centers for Medicare & Medicaid Services?

The Shawn Robert Putnam was issued its 1033150719 by the Centers for Medicare & Medicaid Services on 2006-06-10.

When was the Shawn Robert Putnam's information last updated?

The Shawn Robert Putnam's information was last updated on 2010-01-29.

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