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Mr. Edin Memisevich, NP
Primary Care Nurse Practitioner in New Haven, Connecticut
NPI 1992160105

Edin Memisevich is a Primary Care Nurse Practitioner based in New Haven, CT and is specialized in Primary Care. Edin Memisevich practices in New Haven, CT and has the professional credentials of NP. The NPI Number for Edin Memisevich is 1992160105 and holds a License No. 6411 (Connecticut).

The current practice location address for Edin Memisevich is 1 Long Wharf Dr, New Haven, CT and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624.

Location: 1 Long Wharf Dr, New Haven, CT, 06511-5946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992160105
Provider Name
Edin Memisevich
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1 Long Wharf Dr, New Haven, CT, 06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624
Provider Enumeration Date
12/15/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008056168 05 CT
008063396 01 CT MEMISEVICH MEDICAID
004217099 05 CT
008056033 05 CT
institution
Provider Business Practice Location Address Details
Address
1 Long Wharf Dr
City
New Haven
State
Connecticut
Zip
06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider Business Mailing Address Details
Address
1 Long Wharf Dr
City
New Haven
State
Connecticut
Zip
06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
6411 (Connecticut)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
6411 (Connecticut)
Definition
Definition to come...
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