Pediatric Advanced Care Of West Haven LLC
Nurse Practitioner, Pediatrics in West Haven, Connecticut
1942669916- Practice location
- 755 Campbell Ave, Suite 2, West Haven, CT 06516-3715
- Phone
- 203-889-2297
- Fax
- —
- Last updated
- April 5, 2016
Pediatric Advanced Care Of West Haven LLC is a healthcare organization based in West Haven, CT. Pediatric Advanced Care Of West Haven LLC practices in West Haven, CT. The NPI Number for Pediatric Advanced Care Of West Haven LLC is 1942669916 and holds a License No. 004531 (CT). The current practice location address for Pediatric Advanced Care Of West Haven LLC is 755 Campbell Ave, Suite 2, West Haven, CT 06516-3715 and can be reached out via phone at 203-889-2297.
Provider Profile Details
- NPI Number
- 1942669916
- Provider Name
- Pediatric Advanced Care Of West Haven LLC
- Provider Entity Type
- Organization
- Address
- 755 Campbell Ave, Suite 2, West Haven, CT 06516-3715
- Phone Number
- 203-889-2297
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Organization Subpart
- No
- Authorized Official
- Mrs. Elizabeth J Marcucio, APRN · Owner · 203-889-2297
- Provider Enumeration Date
- February 18, 2016
- Last Update Date
- April 5, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 755 Campbell Ave
Suite 2
West Haven, CT 06516-3715 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-3715
- Phone Number
- 203-889-2297
Provider Business Mailing Address Details
- Address
- 24 N Coe Ln
Ansonia, CT 06401-2818 - City
- Ansonia
- State
- CT
- Zip
- 06401-2818
- Phone Number
- 203-732-1662
License Information
- License Number
- 004531
- License State
- CT
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Pediatrics providers near West Haven, CT
View all Nurse Practitioner, Pediatrics providers in West Haven →Frequently Asked Questions
What is the NPI number of Pediatric Advanced Care Of West Haven LLC?
The NPI number of Pediatric Advanced Care Of West Haven LLC is 1942669916. It was assigned on February 18, 2016 and is currently active in the NPPES registry.
What is the specialty of Pediatric Advanced Care Of West Haven LLC?
Pediatric Advanced Care Of West Haven LLC is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 004531.
Where does Pediatric Advanced Care Of West Haven LLC practice?
The practice location is 755 Campbell Ave, Suite 2, West Haven, CT 06516-3715. The office can be reached at 203-889-2297 (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 1942669916 directly on the NPPES registry website.