Active NPIIndividual provider

Ava R Boornazian, APRN

Nurse Practitioner, Psych/Mental Health in Waterbury, Connecticut

NPI Number1639105166
Practice location
56 Franklin St, Waterbury, CT 06706-1221
Fax
203-709-8849
Last updated
October 19, 2021

Ava Rose Boornazian is a Nurse Practitioner, Psych/Mental Health based in Waterbury, CT. Ava Rose Boornazian practices in Waterbury, CT and has the professional credentials of APRN. The NPI Number for Ava Rose Boornazian is 1639105166 and holds a License No. 002444 (CT). The current practice location address for Ava Rose Boornazian is 56 Franklin St, Waterbury, CT 06706-1221 and can be reached out via phone at 203-709-6000 and via fax at 203-709-8849.

Provider Profile Details

NPI Number
1639105166
Provider Name
Ava Rose Boornazian
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
56 Franklin St, Waterbury, CT 06706-1221
Phone Number
203-709-6000
Fax Number
203-709-8849
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2006
Last Update Date
October 19, 2021
Certification Date
October 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 Franklin St
Waterbury, CT 06706-1221
Zip
06706-1221
Phone Number
203-709-6000
Fax Number
203-709-8849
Waterbury, CT 06706Get directions →

Provider Business Mailing Address Details

Address
56 Franklin St
3RD Floor
Waterbury, CT 06706-1221
City
Waterbury
State
CT
Zip
06706-1221
Phone Number
203-709-8873
Fax Number
203-709-8689

License Information

License Number
002444
License State
CT
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Ava R Boornazian, APRN?

The NPI number of Ava R Boornazian, APRN is 1639105166. It was assigned on June 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Ava R Boornazian, APRN?

Ava R Boornazian, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 002444.

Where does Ava R Boornazian, APRN practice?

The practice location is 56 Franklin St, Waterbury, CT 06706-1221. The office can be reached at 203-709-6000 (phone) or 203-709-8849 (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 1639105166 directly on the NPPES registry website.

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