Martenia Mims, LPN BSHCM MSHS
Licensed Practical Nurse in Hamden, Connecticut
1871259606- Practice location
- 619 Benham St, Hamden, CT 06514-2656
- Phone
- 475-655-4159
- Fax
- —
- Last updated
- November 16, 2021
Martenia Mims is a Licensed Practical Nurse based in Hamden, CT. Martenia Mims practices in Hamden, CT and has the professional credentials of LPN BSHCM MSHS. The NPI Number for Martenia Mims is 1871259606 and holds a License No. 204554 (CA). The current practice location address for Martenia Mims is 619 Benham St, Hamden, CT 06514-2656 and can be reached out via phone at 475-655-4159.
Provider Profile Details
- NPI Number
- 1871259606
- Provider Name
- Martenia Mims
- Credential
- LPN BSHCM MSHS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 619 Benham St, Hamden, CT 06514-2656
- Phone Number
- 475-655-4159
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 16, 2021
- Last Update Date
- November 16, 2021
- Certification Date
- November 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 619 Benham St
Hamden, CT 06514-2656 - City
- Hamden
- State
- Connecticut
- Zip
- 06514-2656
- Phone Number
- 475-655-4159
Provider Business Mailing Address Details
- Address
- 619 Benham St
Hamden, CT 06514-2656 - City
- Hamden
- State
- CT
- Zip
- 06514-2656
- Phone Number
- 475-655-4159
License Information
- License Number (1)
- 204554
- License State (1)
- CA
- Taxonomy (1)
- Licensed Vocational Nurse · 164X00000X
- License Number (2)
- LPN09927
- License State (2)
- RI
- Taxonomy (2)
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Licensed Practical Nurses near Hamden, CT
View all Licensed Practical Nurses in Hamden →Frequently Asked Questions
What is the NPI number of Martenia Mims, LPN BSHCM MSHS?
The NPI number of Martenia Mims, LPN BSHCM MSHS is 1871259606. It was assigned on November 16, 2021 and is currently active in the NPPES registry.
What is the specialty of Martenia Mims, LPN BSHCM MSHS?
Martenia Mims, LPN BSHCM MSHS is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in CA under license number 204554.
Where does Martenia Mims, LPN BSHCM MSHS practice?
The practice location is 619 Benham St, Hamden, CT 06514-2656. The office can be reached at 475-655-4159 (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 1871259606 directly on the NPPES registry website.