Crescent St Obgyn Llc in Middletown - Nurse Practitioner
Crescent St Obgyn Llc - NPI 1184884355
Crescent St Obgyn Llc is a Nurse Practitioner in Middletown, Connecticut. Crescent St Obgyn Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Crescent St Obgyn Llc is 1184884355. The last update date is 2008-06-11.
Crescent St Obgyn Llc's current location address is 49 Crescent St, Middletown, Connecticut. You can contact this provider via phone number 8603449993. The mailing address for Crescent St Obgyn Llc is 49 Crescent St, Middletown, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crescent St Obgyn Llc |
|---|---|
| Address | 49 Crescent St, Middletown, Connecticut |
| Phone Number | 8603449993 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Flagg S Julie |
| Credentials | MD |
| Telephone Number | 8603449993 |
NPI Number Detail
| NPI Number | 1184884355 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 49 Crescent St |
|---|---|
| City | Middletown |
| State | Connecticut (CT) |
| Post Code | 64573601 |
| Phone Number | 8603449993 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2684 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4236924 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Crescent St Obgyn Llc by the Centers for Medicare & Medicaid Services?
The Crescent St Obgyn Llc has been issued the NPI (National Provider Identifier) 1184884355 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Crescent St Obgyn Llc?
The Crescent St Obgyn Llc is situated at 49 Crescent St, in the city of Middletown, state of CT, with the zip code 64573601.
What is Crescent St Obgyn Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crescent St Obgyn Llc is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
When did the Crescent St Obgyn Llc receive its 1184884355?
The Crescent St Obgyn Llc was issued its 1184884355 on 2008-06-11, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Crescent St Obgyn Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Crescent St Obgyn Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-11.
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