Active NPIIndividual provider

Mandy Demerchant, DNP, APRN

Nurse Practitioner, Gerontology in New Haven, Connecticut

NPI Number1366994956
Practice location
55 Park St, New Haven, CT 06511-5474
Fax
203-200-3390
Last updated
March 17, 2018

Mandy Demerchant is a Nurse Practitioner, Gerontology based in New Haven, CT. Mandy Demerchant practices in New Haven, CT and has the professional credentials of DNP, APRN. The NPI Number for Mandy Demerchant is 1366994956 and holds a License No. APRN01475 (RI). The current practice location address for Mandy Demerchant is 55 Park St, New Haven, CT 06511-5474 and can be reached out via phone at 203-200-3379 and via fax at 203-200-3390.

Provider Profile Details

NPI Number
1366994956
Provider Name
Mandy Demerchant
Credential
DNP, APRN
Provider Entity Type
Individual
Gender
Female
Address
55 Park St, New Haven, CT 06511-5474
Phone Number
203-200-3379
Fax Number
203-200-3390
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
October 29, 2016
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Park St
New Haven, CT 06511-5474
Zip
06511-5474
Phone Number
203-200-3379
Fax Number
203-200-3390
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
55 Park St
New Haven, CT 06511-5474
City
New Haven
State
CT
Zip
06511-5474
Phone Number
203-200-2486
Fax Number
203-200-3389

License Information

License Number (1)
APRN01475
License State (1)
RI
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
APRN01475
License State (2)
RI
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (3)
APRN01475
License State (3)
RI
Taxonomy (3)
Nurse Practitioner, Primary Care · 363LP2300X
License Number (4)
6991
License State (4)
CT
Taxonomy (4)
Nurse Practitioner, Gerontology · 363LG0600X · 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 Mandy Demerchant, DNP, APRN?

The NPI number of Mandy Demerchant, DNP, APRN is 1366994956. It was assigned on October 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Mandy Demerchant, DNP, APRN?

Mandy Demerchant, DNP, APRN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in RI under license number APRN01475.

Where does Mandy Demerchant, DNP, APRN practice?

The practice location is 55 Park St, New Haven, CT 06511-5474. The office can be reached at 203-200-3379 (phone) or 203-200-3390 (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 1366994956 directly on the NPPES registry website.

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