Active NPIIndividual provider

Kathleen A Ennis, APRN, DNPC

Nurse Practitioner, Family in Cos Cob, Connecticut

NPI Number1750417358
Practice location
30 Orchard St, Cos Cob, CT 06807-2403
Fax
203-869-4421
Last updated
September 19, 2011

Kathleen A Ennis is a Nurse Practitioner, Family based in Cos Cob, CT. Kathleen A Ennis practices in Cos Cob, CT and has the professional credentials of APRN, DNPC. The NPI Number for Kathleen A Ennis is 1750417358 and holds a License No. 001317 (CT). The current practice location address for Kathleen A Ennis is 30 Orchard St, Cos Cob, CT 06807-2403 and can be reached out via phone at 203-253-2225 and via fax at 203-869-4421.

Provider Profile Details

NPI Number
1750417358
Provider Name
Kathleen A Ennis
Credential
APRN, DNPC
Provider Entity Type
Individual
Gender
Female
Address
30 Orchard St, Cos Cob, CT 06807-2403
Phone Number
203-253-2225
Fax Number
203-869-4421
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
February 26, 2007
Last Update Date
September 19, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Orchard St
Cos Cob, CT 06807-2403
Zip
06807-2403
Phone Number
203-253-2225
Fax Number
203-869-4421
Cos Cob, CT 06807Get directions →

Provider Business Mailing Address Details

Address
30 Orchard St
Cos Cob, CT 06807-2403
City
Cos Cob
State
CT
Zip
06807-2403
Phone Number
203-253-2225
Fax Number
203-869-4421

License Information

License Number
001317
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 Kathleen A Ennis, APRN, DNPC?

The NPI number of Kathleen A Ennis, APRN, DNPC is 1750417358. It was assigned on February 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Kathleen A Ennis, APRN, DNPC?

Kathleen A Ennis, APRN, DNPC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 001317.

Where does Kathleen A Ennis, APRN, DNPC practice?

The practice location is 30 Orchard St, Cos Cob, CT 06807-2403. The office can be reached at 203-253-2225 (phone) or 203-869-4421 (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 1750417358 directly on the NPPES registry website.

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