Active NPIIndividual provider

Ms. Juanita S Durham, APRN

Nurse Practitioner, Family in Niantic, Connecticut

NPI Number1255649737
Practice location
201 W Main St, Niantic, CT 06357-1014
Fax
860-691-6900
Last updated
September 19, 2010

Juanita Schmitt Durham is a Nurse Practitioner, Family based in Niantic, CT. Juanita Schmitt Durham practices in Niantic, CT and has the professional credentials of APRN. The NPI Number for Juanita Schmitt Durham is 1255649737 and holds a License No. 001405 (CT). The current practice location address for Juanita Schmitt Durham is 201 W Main St, Niantic, CT 06357-1014 and can be reached out via phone at 860-691-6856 and via fax at 860-691-6900.

Provider Profile Details

NPI Number
1255649737
Provider Name
Juanita Schmitt Durham
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
201 W Main St, Niantic, CT 06357-1014
Phone Number
860-691-6856
Fax Number
860-691-6900
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2010
Last Update Date
September 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 W Main St
Niantic, CT 06357-1014
Zip
06357-1014
Phone Number
860-691-6856
Fax Number
860-691-6900
Niantic, CT 06357Get directions →

Provider Business Mailing Address Details

Address
201 W Main St
Niantic, CT 06357-1014
City
Niantic
State
CT
Zip
06357-1014
Phone Number
860-691-6856
Fax Number
860-691-6900

License Information

License Number
001405
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Ms. Juanita S Durham, APRN?

The NPI number of Ms. Juanita S Durham, APRN is 1255649737. It was assigned on September 19, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Juanita S Durham, APRN?

Ms. Juanita S Durham, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 001405.

Where does Ms. Juanita S Durham, APRN practice?

The practice location is 201 W Main St, Niantic, CT 06357-1014. The office can be reached at 860-691-6856 (phone) or 860-691-6900 (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 1255649737 directly on the NPPES registry website.

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