Janis M Nicholson in Newington - Psychiatric/mental Health
Janis M Nicholson - NPI 1700952413
Janis M Nicholson is a Psychiatric/mental Health in Newington, Connecticut. Janis M Nicholson practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Janis M Nicholson is 1700952413. The last update date is 2008-06-17.
Janis M Nicholson's current location address is 278 Goodale Drive, Newington, Connecticut. You can contact this provider via phone number 8606670665 and fax number 8606670665. The mailing address for Janis M Nicholson is 278 Goodale Drive, Newington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Janis M Nicholson |
|---|---|
| Address | 278 Goodale Drive, Newington, Connecticut |
| Phone Number | 8606670665 |
| Fax Number | 8606670665 |
| Sole Proprietor | Y |
| Credentials | MA,APRN,CS |
NPI Number Detail
| NPI Number | 1700952413 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 278 Goodale Drive |
|---|---|
| City | Newington |
| State | Connecticut (CT) |
| Post Code | 61113131 |
| Phone Number | 8606670665 |
| Fax Number | 8606670665 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | APRN 000804 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 400000804CT02 | CT | ANTHEM BCBS |
Post Comment/ Review Below
What is the Janis M Nicholson's unique identification number?
The Janis M Nicholson has been assigned the NPI (National Provider Identifier) Number 1700952413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Janis M Nicholson?
The Janis M Nicholson is physically situated at 278 Goodale Drive, in the city of Newington, state of CT, with the postal code 61113131.
What is the Janis M Nicholson's specialty and taxonomy code?
The Janis M Nicholson's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
On what date did the Janis M Nicholson receive the assignment of its 1700952413 from the Centers for Medicare & Medicaid Services?
The Janis M Nicholson was issued its 1700952413 by the Centers for Medicare & Medicaid Services on 2006-11-27.
When was the Janis M Nicholson's information last updated?
The Janis M Nicholson's information was last updated on 2008-06-17.