Active NPIIndividual provider

Susan K Demicco, CRNA

Nurse Anesthetist, Certified Registered in Milford, Connecticut

NPI Number1790706257
Practice location
831 Boston Post RD, Ste. 670, Milford, CT 06460-3536
Fax
—
Last updated
February 22, 2011

Susan Katheryn Demicco is a Nurse Anesthetist, Certified Registered based in Milford, CT. Susan Katheryn Demicco practices in Milford, CT and has the professional credentials of CRNA. The NPI Number for Susan Katheryn Demicco is 1790706257 and holds a License No. RNA21303 (RI). The current practice location address for Susan Katheryn Demicco is 831 Boston Post RD, Ste. 670, Milford, CT 06460-3536 and can be reached out via phone at 203-783-1831.

Provider Profile Details

NPI Number
1790706257
Provider Name
Susan Katheryn Demicco
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
831 Boston Post RD, Ste. 670, Milford, CT 06460-3536
Phone Number
203-783-1831
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2006
Last Update Date
February 22, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
831 Boston Post RD
Ste. 670
Milford, CT 06460-3536
Zip
06460-3536
Phone Number
203-783-1831
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
831 Boston Post RD
Ste. 670
Milford, CT 06460-3536
City
Milford
State
CT
Zip
06460-3536
Phone Number
203-783-1831

License Information

License Number
RNA21303
License State
RI
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · 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 Susan K Demicco, CRNA?

The NPI number of Susan K Demicco, CRNA is 1790706257. It was assigned on July 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan K Demicco, CRNA?

Susan K Demicco, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in RI under license number RNA21303.

Where does Susan K Demicco, CRNA practice?

The practice location is 831 Boston Post RD, Ste. 670, Milford, CT 06460-3536. The office can be reached at 203-783-1831 (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 1790706257 directly on the NPPES registry website.

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