Active NPIIndividual provider

Mrs. Kathleen M Bannon, APRN

Nurse Practitioner, Women's Health in Rockville, Connecticut

NPI Number1811964034
Practice location
31 Union St, Rockville, CT 06066-3126
Fax
860-872-5206
Last updated
July 13, 2026

Kathleen Marie Bannon is a Nurse Practitioner, Women's Health based in Rockville, CT. Kathleen Marie Bannon practices in Rockville, CT and has the professional credentials of APRN. The NPI Number for Kathleen Marie Bannon is 1811964034 and holds a License No. 002093 (CT). The current practice location address for Kathleen Marie Bannon is 31 Union St, Rockville, CT 06066-3126 and can be reached out via phone at 860-872-5170 and via fax at 860-872-5206.

Provider Profile Details

NPI Number
1811964034
Provider Name
Kathleen Marie Bannon
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
31 Union St, Rockville, CT 06066-3126
Phone Number
860-872-5170
Fax Number
860-872-5206
Primary Taxonomy
Nurse Practitioner, Women's Health · 363LW0102X
Sole Proprietor
No
Provider Enumeration Date
March 7, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Union St
Rockville, CT 06066-3126
Zip
06066-3126
Phone Number
860-872-5170
Fax Number
860-872-5206
Rockville, CT 06066Get directions →

Provider Business Mailing Address Details

Address
54 Saint Moritz Cir
Willington, CT 06279-2210
City
Willington
State
CT
Zip
06279-2210
Phone Number
860-684-4396

License Information

License Number
002093
License State
CT
Taxonomy
Nurse Practitioner, Women's Health · 363LW0102X · 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. Kathleen M Bannon, APRN?

The NPI number of Mrs. Kathleen M Bannon, APRN is 1811964034. It was assigned on March 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kathleen M Bannon, APRN?

Mrs. Kathleen M Bannon, APRN is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in CT under license number 002093.

Where does Mrs. Kathleen M Bannon, APRN practice?

The practice location is 31 Union St, Rockville, CT 06066-3126. The office can be reached at 860-872-5170 (phone) or 860-872-5206 (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 1811964034 directly on the NPPES registry website.

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