Individual provider · Type 1 NPI

Judith Lion Carbonella, APRN

Pediatric Nurse Practitioner · New Haven, CT

NPI number 1063496214 Active

Practice location

800 Howard Ave, Yale Physicians Building
New Haven, CT 06519-1369

Fax (203) 737-2228

Mailing address

20 York St, Ynhh Childrens West Pavilion 2nd Floor
New Haven, CT 06536-0805

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X000505 (CT)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1063496214

Judith Lion Carbonella, APRN's National Provider Identifier is 1063496214, issued on Dec 1, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Haven, CT. The record was last updated on Jun 25, 2008.