Active NPIIndividual providerSole proprietor

Kathryn A Fallon, NURSE PRACTITIONER

Nurse Practitioner, Family in Old Lyme, Connecticut

NPI Number1316129455
Practice location
8 Ascot Ln, Old Lyme, CT 06371-1870
Fax
—
Last updated
November 30, 2007

Kathryn Ann Fallon is a Nurse Practitioner, Family based in Old Lyme, CT. Kathryn Ann Fallon practices in Old Lyme, CT and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Kathryn Ann Fallon is 1316129455 and holds a License No. 002085 (CT). The current practice location address for Kathryn Ann Fallon is 8 Ascot Ln, Old Lyme, CT 06371-1870 and can be reached out via phone at 860-434-1008.

Provider Profile Details

NPI Number
1316129455
Provider Name
Kathryn Ann Fallon
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
8 Ascot Ln, Old Lyme, CT 06371-1870
Phone Number
860-434-1008
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 30, 2007
Last Update Date
November 30, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Ascot Ln
Old Lyme, CT 06371-1870
Zip
06371-1870
Phone Number
860-434-1008
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
8 Ascot Ln
Old Lyme, CT 06371-1870
City
Old Lyme
State
CT
Zip
06371-1870
Phone Number
860-434-1008

License Information

License Number
002085
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 Kathryn A Fallon, NURSE PRACTITIONER?

The NPI number of Kathryn A Fallon, NURSE PRACTITIONER is 1316129455. It was assigned on November 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Kathryn A Fallon, NURSE PRACTITIONER?

Kathryn A Fallon, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 002085.

Where does Kathryn A Fallon, NURSE PRACTITIONER practice?

The practice location is 8 Ascot Ln, Old Lyme, CT 06371-1870. The office can be reached at 860-434-1008 (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 1316129455 directly on the NPPES registry website.

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