Active NPIIndividual provider

Asena Derohannesian

Nurse Practitioner, Pediatrics in Bridgeport, Connecticut

NPI Number1043685308
Practice location
425 Thorme St, Bridgeport, CT 06606-3418
Fax
203-275-0198
Last updated
October 17, 2018

Asena Derohannesian is a Nurse Practitioner, Pediatrics based in Bridgeport, CT. Asena Derohannesian practices in Bridgeport, CT. The NPI Number for Asena Derohannesian is 1043685308 and holds a License No. 6410 (CT). The current practice location address for Asena Derohannesian is 425 Thorme St, Bridgeport, CT 06606-3418 and can be reached out via phone at 203-275-4115 and via fax at 203-275-0198.

Provider Profile Details

NPI Number
1043685308
Provider Name
Asena Derohannesian
Provider Entity Type
Individual
Gender
Female
Address
425 Thorme St, Bridgeport, CT 06606-3418
Phone Number
203-275-4115
Fax Number
203-275-0198
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Other Names
Asena Levent (Former Name)
Provider Enumeration Date
December 11, 2015
Last Update Date
October 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Thorme St
Bridgeport, CT 06606-3418
Zip
06606-3418
Phone Number
203-275-4115
Fax Number
203-275-0198
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
46 Albion St
Bridgeport, CT 06605-2602
City
Bridgeport
State
CT
Zip
06605-2602
Phone Number
203-330-6000

License Information

License Number
6410
License State
CT
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Asena Derohannesian?

The NPI number of Asena Derohannesian is 1043685308. It was assigned on December 11, 2015 and is currently active in the NPPES registry.

What is the specialty of Asena Derohannesian?

Asena Derohannesian is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 6410.

Where does Asena Derohannesian practice?

The practice location is 425 Thorme St, Bridgeport, CT 06606-3418. The office can be reached at 203-275-4115 (phone) or 203-275-0198 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043685308 directly on the NPPES registry website.

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