Jeannie Dilworth in South Windsor - Psychiatric/mental Health
Jeannie Dilworth - NPI 1265487425
Jeannie Dilworth is a Psychiatric/mental Health in South Windsor, Connecticut. Jeannie Dilworth practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Jeannie Dilworth is 1265487425. The last update date is 2015-07-01.
Jeannie Dilworth's current location address is 925 Sullivan Ave, South Windsor, Connecticut. You can contact this provider via phone number 8604327771 and fax number 8604327774. The mailing address for Jeannie Dilworth is 925 Sullivan Ave, South Windsor, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannie Dilworth |
|---|---|
| Address | 925 Sullivan Ave, South Windsor, Connecticut |
| Phone Number | 8604327771 |
| Fax Number | 8604327774 |
| Sole Proprietor | Y |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1265487425 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2015-07-01 |
Provider Mailing Address Detail
| Address | 925 Sullivan Ave |
|---|---|
| City | South Windsor |
| State | Connecticut (CT) |
| Post Code | 60742025 |
| Phone Number | 8604327771 |
| Fax Number | 8604327774 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 1987 |
|
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 |
|---|---|---|---|
| 4253407 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeannie Dilworth by the Centers for Medicare & Medicaid Services?
The Jeannie Dilworth has been issued the NPI (National Provider Identifier) 1265487425 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jeannie Dilworth's physical address?
The Jeannie Dilworth is physically located at 925 Sullivan Ave, in the city of South Windsor, CT, with the postal code 60742025.
What is the Jeannie Dilworth's specialty and taxonomy code?
The Jeannie Dilworth's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265487425 to Jeannie Dilworth?
The Jeannie Dilworth received its 1265487425 assignment from the Centers for Medicare & Medicaid Services on 2006-05-24.
As of what date were the Jeannie Dilworth's details last updated?
The information pertaining to the Jeannie Dilworth, including its address, specialty, and other details, was most recently updated on 2015-07-01.