Active NPIIndividual provider

Mary-Ann Jodaitis

Registered Nurse, Addiction (Substance Use Disorder) in Putnam, Connecticut

NPI Number1417372756
Practice location
391 Pomfret St, Putnam, CT 06260-1852
Fax
860-963-4979
Last updated
February 24, 2014

Mary-Ann Jodaitis is a Registered Nurse, Addiction (Substance Use Disorder) based in Putnam, CT. Mary-Ann Jodaitis practices in Putnam, CT. The NPI Number for Mary-Ann Jodaitis is 1417372756 and holds a License No. E32489 (CT). The current practice location address for Mary-Ann Jodaitis is 391 Pomfret St, Putnam, CT 06260-1852 and can be reached out via phone at 860-963-4971 and via fax at 860-963-4979.

Provider Profile Details

NPI Number
1417372756
Provider Name
Mary-Ann Jodaitis
Provider Entity Type
Individual
Gender
Female
Address
391 Pomfret St, Putnam, CT 06260-1852
Phone Number
860-963-4971
Fax Number
860-963-4979
Sole Proprietor
No
Other Names
-- Mary-Ann Bouthillier (Former Name)
Provider Enumeration Date
February 24, 2014
Last Update Date
February 24, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
391 Pomfret St
Putnam, CT 06260-1852
City
Putnam
Zip
06260-1852
Phone Number
860-963-4971
Fax Number
860-963-4979
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
391 Pomfret St
Putnam, CT 06260-1852
City
Putnam
State
CT
Zip
06260-1852
Phone Number
860-963-4971
Fax Number
860-963-4979

License Information

License Number
E32489
License State
CT

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 Mary-Ann Jodaitis?

The NPI number of Mary-Ann Jodaitis is 1417372756. It was assigned on February 24, 2014 and is currently active in the NPPES registry.

What is the specialty of Mary-Ann Jodaitis?

Mary-Ann Jodaitis is registered under the primary taxonomy Registered Nurse, Addiction (Substance Use Disorder) (code 163WA0400X), licensed in CT under license number E32489.

Where does Mary-Ann Jodaitis practice?

The practice location is 391 Pomfret St, Putnam, CT 06260-1852. The office can be reached at 860-963-4971 (phone) or 860-963-4979 (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 1417372756 directly on the NPPES registry website.

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