Active NPIIndividual provider

Shirley Joseph, APRN

Nurse Practitioner, Psych/Mental Health in Waterbury, Connecticut

NPI Number1760921647
Practice location
1389 W Main St Ste 302, Waterbury, CT 06708-3115
Fax
860-489-2604
Last updated
September 23, 2021

Shirley Joseph is a Nurse Practitioner, Psych/Mental Health based in Waterbury, CT. Shirley Joseph practices in Waterbury, CT and has the professional credentials of APRN. The NPI Number for Shirley Joseph is 1760921647 and holds a License No. 093616 (NY). The current practice location address for Shirley Joseph is 1389 W Main St Ste 302, Waterbury, CT 06708-3115 and can be reached out via phone at 203-687-5668 and via fax at 860-489-2604.

Provider Profile Details

NPI Number
1760921647
Provider Name
Shirley Joseph
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1389 W Main St Ste 302, Waterbury, CT 06708-3115
Phone Number
203-687-5668
Fax Number
860-489-2604
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
February 13, 2017
Last Update Date
September 23, 2021
Certification Date
September 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1389 W Main St Ste 302
Waterbury, CT 06708-3115
Zip
06708-3115
Phone Number
203-687-5668
Fax Number
860-489-2604
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
Po Box 1892
Naugatuck, CT 06770-8602
City
Naugatuck
State
CT
Zip
06770-8602
Phone Number
203-687-5668
Fax Number
860-489-2604

License Information

License Number (1)
093616
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
006959
License State (2)
CT
Taxonomy (2)
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 Shirley Joseph, APRN?

The NPI number of Shirley Joseph, APRN is 1760921647. It was assigned on February 13, 2017 and is currently active in the NPPES registry.

What is the specialty of Shirley Joseph, APRN?

Shirley Joseph, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 093616.

Where does Shirley Joseph, APRN practice?

The practice location is 1389 W Main St Ste 302, Waterbury, CT 06708-3115. The office can be reached at 203-687-5668 (phone) or 860-489-2604 (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 1760921647 directly on the NPPES registry website.

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