Individual provider · Type 1 NPI

Kiara Goldwag

Gerontology Nurse Practitioner · New Haven, CT

NPI number 1508470238 Active

Practice location

20 York St
New Haven, CT 06510-3220

Mailing address

732 Spruce Brook Rd
Southbury, CT 06488-1034

Other practice locations

  • 301 E Main St, Bay Shore, NY 11706-8408 · (631) 968-3000
  • 300 Community Dr, Manhasset, NY 11030-3816 · (516) 562-0100
  • 100 E 77th St, New York, NY 10075-1850 · (212) 434-2000
  • 27005 76th Ave, New Hyde Park, NY 11040-1402 · (718) 470-7000

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X800276 (NY)
Critical Care Medicine Registered Nurse 163WC0200X120728 (CT)
Critical Care Medicine Registered Nurse 163WC0200X311956 (NY)
Acute Care Nurse Practitioner 363LA2100X431848 (NY)
Critical Care Medicine Nurse Practitioner 363LC0200X9426 (CT)
Gerontology Nurse Practitioner Primary 363LG0600X9426 (CT)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1508470238

Kiara Goldwag's National Provider Identifier is 1508470238, issued on Sep 1, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New Haven, CT. The record was last updated on Aug 13, 2021.