Active NPIIndividual provider

Ms. Debra M Divenere, APRN, CPNP

Nurse Practitioner, Pediatrics in Waterbury, Connecticut

NPI Number1376559492
Practice location
134 Grandview Ave, Suite 208, Waterbury, CT 06708-2507
Fax
203-755-3057
Last updated
July 8, 2007

Debra M Divenere is a Nurse Practitioner, Pediatrics based in Waterbury, CT. Debra M Divenere practices in Waterbury, CT and has the professional credentials of APRN, CPNP. The NPI Number for Debra M Divenere is 1376559492 and holds a License No. 0002590 (CT). The current practice location address for Debra M Divenere is 134 Grandview Ave, Suite 208, Waterbury, CT 06708-2507 and can be reached out via phone at 203-755-3279 and via fax at 203-755-3057.

Provider Profile Details

NPI Number
1376559492
Provider Name
Debra M Divenere
Credential
APRN, CPNP
Provider Entity Type
Individual
Gender
Female
Address
134 Grandview Ave, Suite 208, Waterbury, CT 06708-2507
Phone Number
203-755-3279
Fax Number
203-755-3057
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 Grandview Ave
Suite 208
Waterbury, CT 06708-2507
Zip
06708-2507
Phone Number
203-755-3279
Fax Number
203-755-3057
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
25 Winston CT
Bristol, CT 06010-2691
City
Bristol
State
CT
Zip
06010-2691
Phone Number
860-585-7063

License Information

License Number
0002590
License State
CT
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · 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. Debra M Divenere, APRN, CPNP?

The NPI number of Ms. Debra M Divenere, APRN, CPNP is 1376559492. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Debra M Divenere, APRN, CPNP?

Ms. Debra M Divenere, APRN, CPNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 0002590.

Where does Ms. Debra M Divenere, APRN, CPNP practice?

The practice location is 134 Grandview Ave, Suite 208, Waterbury, CT 06708-2507. The office can be reached at 203-755-3279 (phone) or 203-755-3057 (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 1376559492 directly on the NPPES registry website.

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