Organization · Type 2 NPI

Coastal Digestive Diseases

Nurse Practitioner · New London, CT

NPI number 1447459839 Active

Practice location

234A Bank St Fl 4
New London, CT 06320-6054

Fax (860) 442-2136

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (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 wit…

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About NPI 1447459839

Coastal Digestive Diseases's National Provider Identifier is 1447459839, issued on Jul 16, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New London, CT. The record was last updated on Aug 22, 2020.