Individual provider · Type 1 NPI

Avalon Dibner Fennessey, CPNP-PC

Pediatric Nurse Practitioner · Norwalk, CT

NPI number 1487083978 Active

Practice location

120 Connecticut Ave
Norwalk, CT 06854-1525

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X113331 (CT)
Registered Nurse 163W00000XL1-0042593 (DE)
Registered Nurse 163W00000XRN61411 (ME)
Registered Nurse 163W00000XRN634654 (PA)
Pediatric Nurse Practitioner Primary 363LP0200X5598 (CT)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1487083978

Avalon Dibner Fennessey, CPNP-PC's National Provider Identifier is 1487083978, issued on Nov 5, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Norwalk, CT. The record was last updated on Sep 30, 2014.