Active NPIIndividual provider

Melissa Bohan-Hallenbeck, APRN

Nurse Practitioner in Willimantic, Connecticut

NPI Number1174931687
Practice location
112 Mansfield Ave, Willimantic, CT 06226-2045
Fax
860-456-6969
Last updated
January 15, 2018

Melissa Bohan-Hallenbeck is a Nurse Practitioner based in Willimantic, CT. Melissa Bohan-Hallenbeck practices in Willimantic, CT and has the professional credentials of APRN. The NPI Number for Melissa Bohan-Hallenbeck is 1174931687 and holds a License No. RN2311497 (MA). The current practice location address for Melissa Bohan-Hallenbeck is 112 Mansfield Ave, Willimantic, CT 06226-2045 and can be reached out via phone at 860-456-6965 and via fax at 860-456-6969.

Provider Profile Details

NPI Number
1174931687
Provider Name
Melissa Bohan-Hallenbeck
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
112 Mansfield Ave, Willimantic, CT 06226-2045
Phone Number
860-456-6965
Fax Number
860-456-6969
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2014
Last Update Date
January 15, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Mansfield Ave
Willimantic, CT 06226-2045
Zip
06226-2045
Phone Number
860-456-6965
Fax Number
860-456-6969
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
5 Charles St
Putnam, CT 06260-2003
City
Putnam
State
CT
Zip
06260-2003
Phone Number
860-420-8150

License Information

License Number (1)
RN2311497
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
5798
License State (2)
CT
Taxonomy (2)
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 Melissa Bohan-Hallenbeck, APRN?

The NPI number of Melissa Bohan-Hallenbeck, APRN is 1174931687. It was assigned on July 28, 2014 and is currently active in the NPPES registry.

What is the specialty of Melissa Bohan-Hallenbeck, APRN?

Melissa Bohan-Hallenbeck, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2311497.

Where does Melissa Bohan-Hallenbeck, APRN practice?

The practice location is 112 Mansfield Ave, Willimantic, CT 06226-2045. The office can be reached at 860-456-6965 (phone) or 860-456-6969 (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 1174931687 directly on the NPPES registry website.

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