Active NPIIndividual provider

Heather Desroches, PA

Physician Assistant in Branford, Connecticut

NPI Number1902424393
Practice location
954 Main St, Branford, CT 06405-7727
Fax
855-496-0993
Last updated
June 5, 2024

Heather Desroches is a Physician Assistant based in Branford, CT. Heather Desroches practices in Branford, CT and has the professional credentials of PA. The NPI Number for Heather Desroches is 1902424393 and holds a License No. 6363 (CT). The current practice location address for Heather Desroches is 954 Main St, Branford, CT 06405-7727 and can be reached out via phone at 203-481-0003 and via fax at 855-496-0993.

Provider Profile Details

NPI Number
1902424393
Provider Name
Heather Desroches
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
954 Main St, Branford, CT 06405-7727
Phone Number
203-481-0003
Fax Number
855-496-0993
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2020
Last Update Date
June 5, 2024
Certification Date
June 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
954 Main St
Branford, CT 06405-7727
Zip
06405-7727
Phone Number
203-481-0003
Fax Number
855-496-0993
Branford, CT 06405Get directions →

Provider Business Mailing Address Details

Address
31 Broadway
North Haven, CT 06473-2363
City
North Haven
State
CT
Zip
06473-2363
Phone Number
860-302-9414
Fax Number
203-239-3047

License Information

License Number
6363
License State
CT
Taxonomy
Physician Assistant · 363A00000X · 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 Heather Desroches, PA?

The NPI number of Heather Desroches, PA is 1902424393. It was assigned on July 11, 2020 and is currently active in the NPPES registry.

What is the specialty of Heather Desroches, PA?

Heather Desroches, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 6363.

Where does Heather Desroches, PA practice?

The practice location is 954 Main St, Branford, CT 06405-7727. The office can be reached at 203-481-0003 (phone) or 855-496-0993 (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 1902424393 directly on the NPPES registry website.

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