Individual provider · Type 1 NPI
Edin Memisevich, NP
Primary Care Nurse Practitioner · New Haven, CT
NPI number
1992160105
Active
Practice location
1 Long Wharf Dr
New Haven, CT 06511-5946
Fax (203) 781-4624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 6411 (CT) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 6411 (CT) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1992160105
Edin Memisevich, NP's National Provider Identifier is 1992160105, issued on Dec 15, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New Haven, CT. The record was last updated on Jan 9, 2017.