Active NPIIndividual provider

Ms. Marva Quaccoo, LPN

Licensed Vocational Nurse in Bridgeport, Connecticut

NPI Number1982924908
Practice location
130 Broadbridge RD, Bridgeport, CT 06610-1121
Fax
—
Last updated
June 2, 2010

Marva Quaccoo is a Licensed Vocational Nurse based in Bridgeport, CT. Marva Quaccoo practices in Bridgeport, CT and has the professional credentials of LPN. The NPI Number for Marva Quaccoo is 1982924908 and holds a License No. 234908 (NY). The current practice location address for Marva Quaccoo is 130 Broadbridge RD, Bridgeport, CT 06610-1121 and can be reached out via phone at 203-373-7559.

Provider Profile Details

NPI Number
1982924908
Provider Name
Marva Quaccoo
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
130 Broadbridge RD, Bridgeport, CT 06610-1121
Phone Number
203-373-7559
Primary Taxonomy
Licensed Vocational Nurse · 164X00000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2010
Last Update Date
June 2, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Broadbridge RD
Bridgeport, CT 06610-1121
Zip
06610-1121
Phone Number
203-373-7559
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
130 Broadbridge RD
Bridgeport, CT 06620
City
Bridgeport
State
CT
Zip
06620
Phone Number
203-373-7559

License Information

License Number (1)
234908
License State (1)
NY
Taxonomy (1)
Licensed Vocational Nurse · 164X00000X · Primary
License Number (2)
234908
License State (2)
CT
Taxonomy (2)
Licensed Vocational Nurse · 164X00000X

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 Ms. Marva Quaccoo, LPN?

The NPI number of Ms. Marva Quaccoo, LPN is 1982924908. It was assigned on June 2, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Marva Quaccoo, LPN?

Ms. Marva Quaccoo, LPN is registered under the primary taxonomy Licensed Vocational Nurse (code 164X00000X), licensed in NY under license number 234908.

Where does Ms. Marva Quaccoo, LPN practice?

The practice location is 130 Broadbridge RD, Bridgeport, CT 06610-1121. The office can be reached at 203-373-7559 (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 1982924908 directly on the NPPES registry website.

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