Active NPIIndividual provider

Mrs. Madeline F Revere, APRN

Nurse Practitioner, Psych/Mental Health in Waterbury, Connecticut

NPI Number1659353118
Practice location
64 Robbins St, Crisis Intervention Center, Waterbury, CT 06708-2613
Fax
203-573-7007
Last updated
April 8, 2011

Madeline Francis Revere is a Nurse Practitioner, Psych/Mental Health based in Waterbury, CT. Madeline Francis Revere practices in Waterbury, CT and has the professional credentials of APRN. The NPI Number for Madeline Francis Revere is 1659353118 and holds a License No. 000241 (CT). The current practice location address for Madeline Francis Revere is 64 Robbins St, Crisis Intervention Center, Waterbury, CT 06708-2613 and can be reached out via phone at 203-573-6798 and via fax at 203-573-7007.

Provider Profile Details

NPI Number
1659353118
Provider Name
Madeline Francis Revere
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
64 Robbins St, Crisis Intervention Center, Waterbury, CT 06708-2613
Phone Number
203-573-6798
Fax Number
203-573-7007
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2005
Last Update Date
April 8, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Robbins St
Crisis Intervention Center
Waterbury, CT 06708-2613
Zip
06708-2613
Phone Number
203-573-6798
Fax Number
203-573-7007
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
3 Sabbaday Ln
Washington, CT 06793-1306
City
Washington
State
CT
Zip
06793-1306
Phone Number
860-868-0440
Fax Number
203-573-7007

License Information

License Number
000241
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 Mrs. Madeline F Revere, APRN?

The NPI number of Mrs. Madeline F Revere, APRN is 1659353118. It was assigned on November 18, 2005 and is currently active in the NPPES registry.

What is the specialty of Mrs. Madeline F Revere, APRN?

Mrs. Madeline F Revere, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 000241.

Where does Mrs. Madeline F Revere, APRN practice?

The practice location is 64 Robbins St, Crisis Intervention Center, Waterbury, CT 06708-2613. The office can be reached at 203-573-6798 (phone) or 203-573-7007 (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 1659353118 directly on the NPPES registry website.

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