Active NPIIndividual provider

Miss Kathryn J Dugger- Goodrich

Nurse Practitioner, Family in Manchester, Connecticut

NPI Number1396027249
Practice location
515 Middle Tpke W, Manchester, CT 06040-3816
Fax
860-649-5219
Last updated
January 2, 2024

Kathryn Jennifer Dugger- Goodrich is a Nurse Practitioner, Family based in Manchester, CT. Kathryn Jennifer Dugger- Goodrich practices in Manchester, CT. The NPI Number for Kathryn Jennifer Dugger- Goodrich is 1396027249 and holds a License No. 11805 (CT). The current practice location address for Kathryn Jennifer Dugger- Goodrich is 515 Middle Tpke W, Manchester, CT 06040-3816 and can be reached out via phone at 860-533-4176 and via fax at 860-649-5219.

Provider Profile Details

NPI Number
1396027249
Provider Name
Kathryn Jennifer Dugger- Goodrich
Provider Entity Type
Individual
Gender
Female
Address
515 Middle Tpke W, Manchester, CT 06040-3816
Phone Number
860-533-4176
Fax Number
860-649-5219
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 16, 2011
Last Update Date
January 2, 2024
Certification Date
January 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
515 Middle Tpke W
Manchester, CT 06040-3816
Zip
06040-3816
Phone Number
860-533-4176
Fax Number
860-649-5219
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
385 Grove St
Worcester, MA 01605-3924
City
Worcester
State
MA
Zip
01605-3924
Phone Number
508-791-2508

License Information

License Number
11805
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 Miss Kathryn J Dugger- Goodrich?

The NPI number of Miss Kathryn J Dugger- Goodrich is 1396027249. It was assigned on September 16, 2011 and is currently active in the NPPES registry.

What is the specialty of Miss Kathryn J Dugger- Goodrich?

Miss Kathryn J Dugger- Goodrich is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 11805.

Where does Miss Kathryn J Dugger- Goodrich practice?

The practice location is 515 Middle Tpke W, Manchester, CT 06040-3816. The office can be reached at 860-533-4176 (phone) or 860-649-5219 (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 1396027249 directly on the NPPES registry website.

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