Active NPIIndividual provider

Stacey Cooley Bardin, RN

Registered Nurse, Gerontology in Bridgeport, Connecticut

NPI Number1134882251
Practice location
4200 Park Ave, Bridgeport, CT 06604-1049
Fax
—
Last updated
October 15, 2021

Stacey Cooley Bardin is a Registered Nurse, Gerontology based in Bridgeport, CT. Stacey Cooley Bardin practices in Bridgeport, CT and has the professional credentials of RN. The NPI Number for Stacey Cooley Bardin is 1134882251 and holds a License No. 71480 (CT). The current practice location address for Stacey Cooley Bardin is 4200 Park Ave, Bridgeport, CT 06604-1049 and can be reached out via phone at 203-364-8253.

Provider Profile Details

NPI Number
1134882251
Provider Name
Stacey Cooley Bardin
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
4200 Park Ave, Bridgeport, CT 06604-1049
Phone Number
203-364-8253
Primary Taxonomy
Registered Nurse, Gerontology · 163WG0600X
Sole Proprietor
No
Provider Enumeration Date
October 15, 2021
Last Update Date
October 15, 2021
Certification Date
October 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
4200 Park Ave
Bridgeport, CT 06604-1049
Zip
06604-1049
Phone Number
203-364-8253
Bridgeport, CT 06604Get directions →

Provider Business Mailing Address Details

Address
4200 Park Ave
Bridgeport, CT 06604-1049
City
Bridgeport
State
CT
Zip
06604-1049

License Information

License Number
71480
License State
CT
Taxonomy
Registered Nurse, Gerontology · 163WG0600X · 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 Stacey Cooley Bardin, RN?

The NPI number of Stacey Cooley Bardin, RN is 1134882251. It was assigned on October 15, 2021 and is currently active in the NPPES registry.

What is the specialty of Stacey Cooley Bardin, RN?

Stacey Cooley Bardin, RN is registered under the primary taxonomy Registered Nurse, Gerontology (code 163WG0600X), licensed in CT under license number 71480.

Where does Stacey Cooley Bardin, RN practice?

The practice location is 4200 Park Ave, Bridgeport, CT 06604-1049. The office can be reached at 203-364-8253 (phone).

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 1134882251 directly on the NPPES registry website.

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