Active NPIIndividual providerSole proprietor

Mrs. Maryellen P Pachler Kennell, APRN

Nurse Practitioner in Cos Cob, Connecticut

NPI Number1174643530
Practice location
399 East Putnam Ave., 2ND Floor Suite #1, Cos Cob, CT 06807
Fax
203-769-1366
Last updated
November 29, 2010

Maryellen Pachler Pachler Kennell is a Nurse Practitioner based in Cos Cob, CT. Maryellen Pachler Pachler Kennell practices in Cos Cob, CT and has the professional credentials of APRN. The NPI Number for Maryellen Pachler Pachler Kennell is 1174643530 and holds a License No. 003159 (CT). The current practice location address for Maryellen Pachler Pachler Kennell is 399 East Putnam Ave., 2ND Floor Suite #1, Cos Cob, CT 06807 and can be reached out via phone at 860-478-4134 and via fax at 203-769-1366.

Provider Profile Details

NPI Number
1174643530
Provider Name
Maryellen Pachler Pachler Kennell
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
399 East Putnam Ave., 2ND Floor Suite #1, Cos Cob, CT 06807
Phone Number
860-478-4134
Fax Number
203-769-1366
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Other Names
-- Maryellen Creamer Pachler, APRN (Former Name)
Provider Enumeration Date
March 30, 2007
Last Update Date
November 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
399 East Putnam Ave.
2ND Floor Suite #1
Cos Cob, CT 06807
Zip
06807
Phone Number
860-478-4134
Fax Number
203-769-1366
Cos Cob, CT 06807Get directions →

Provider Business Mailing Address Details

Address
399 East Putnam Ave.
2ND Floor Suite #1
Cos Cob, CT 06807
City
Cos Cob
State
CT
Zip
06807
Phone Number
860-478-4134
Fax Number
203-769-1366

License Information

License Number (1)
003159
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (2)
003159
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
CTAPRN003159
License State (3)
CT
Taxonomy (3)
Nurse Practitioner · 363L00000X · 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 Mrs. Maryellen P Pachler Kennell, APRN?

The NPI number of Mrs. Maryellen P Pachler Kennell, APRN is 1174643530. It was assigned on March 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Maryellen P Pachler Kennell, APRN?

Mrs. Maryellen P Pachler Kennell, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 003159.

Where does Mrs. Maryellen P Pachler Kennell, APRN practice?

The practice location is 399 East Putnam Ave., 2ND Floor Suite #1, Cos Cob, CT 06807. The office can be reached at 860-478-4134 (phone) or 203-769-1366 (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 1174643530 directly on the NPPES registry website.

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