Audrey E Douglas, PA
Physician Assistant in New Haven, Connecticut
1659383404- Practice location
- 20 York St, New Haven, CT 06504-8900
- Phone
- 203-688-2318
- Fax
- —
- Last updated
- July 8, 2007
Audrey Ellen Douglas is a Physician Assistant based in New Haven, CT. Audrey Ellen Douglas practices in New Haven, CT and has the professional credentials of PA. The NPI Number for Audrey Ellen Douglas is 1659383404 and holds a License No. 000727 (CT). The current practice location address for Audrey Ellen Douglas is 20 York St, New Haven, CT 06504-8900 and can be reached out via phone at 203-688-2318.
Provider Profile Details
- NPI Number
- 1659383404
- Provider Name
- Audrey Ellen Douglas
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 York St, New Haven, CT 06504-8900
- Phone Number
- 203-688-2318
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 12, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 York St
New Haven, CT 06504-8900 - City
- New Haven
- State
- Connecticut
- Zip
- 06504-8900
- Phone Number
- 203-688-2318
Provider Business Mailing Address Details
- Address
- 26 John St
Derby, CT 06418-2602 - City
- Derby
- State
- CT
- Zip
- 06418-2602
License Information
- License Number
- 000727
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Audrey E Douglas, PA?
The NPI number of Audrey E Douglas, PA is 1659383404. It was assigned on August 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Audrey E Douglas, PA?
Audrey E Douglas, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000727.
Where does Audrey E Douglas, PA practice?
The practice location is 20 York St, New Haven, CT 06504-8900. The office can be reached at 203-688-2318 (phone).
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 1659383404 directly on the NPPES registry website.