Kathryn Granville in Bridgeport - Pediatrics
Kathryn Granville - NPI 1598743551
Kathryn Granville is a Pediatrics in Bridgeport, Connecticut. Kathryn Granville practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kathryn Granville is 1598743551. The last update date is 2022-03-22.
Kathryn Granville's current location address is 60 Housatonic Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2035796548 and fax number 2035793688. The mailing address for Kathryn Granville is 60 Housatonic Ave, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Granville |
|---|---|
| Address | 60 Housatonic Ave, Bridgeport, Connecticut |
| Phone Number | 2035796548 |
| Fax Number | 2035793688 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1598743551 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2022-03-22 |
Provider Mailing Address Detail
| Address | 60 Housatonic Ave |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66044026 |
| Phone Number | 2035796548 |
| Fax Number | 2035793688 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 1766 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1766 | CT | LICENSE | |
| 4235900 | CT | -- |
Post Comment/ Review Below
What is the Kathryn Granville's unique identification number?
The Kathryn Granville has been assigned the NPI (National Provider Identifier) Number 1598743551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kathryn Granville is physically located?
The Kathryn Granville is situated at the following address: 60 Housatonic Ave, Bridgeport, CT 66044026.
What is Kathryn Granville's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kathryn Granville is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date did the Kathryn Granville receive its 1598743551 assignment from the Centers for Medicare & Medicaid Services?
The Kathryn Granville was assigned its 1598743551 by the Centers for Medicare & Medicaid Services on 2006-01-09.
As of what date were the details pertaining to Kathryn Granville last refreshed?
The information related to the Kathryn Granville, including its address, specialty, and other relevant details, was last updated on 2022-03-22.
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