LPN Angelique Carlson, NPI 1376965327
Licensed Practical Nurse in New Haven, CT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1376965327
NPI Entity Type Individual
Provider Name LPN Angelique Carlson
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 495 Congress Ave, New Haven, CT, US
Provider Mailing Address 1 Long Wharf Dr, Ste 321, New Haven, CT, US, 065115991
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

164W00000X

Taxonomy Name Licensed Practical Nurse
Classification

Licensed Practical Nurse

Group

Nursing Service Providers

License No. 030856
License State CT
Description An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Business Address

LPN Angelique Carlson
495 Congress Ave

New Haven, CT, US

Phone: 203-781-4600
Fax: 203-781-4624

Mailing Address

LPN Angelique Carlson
1 Long Wharf Dr
Ste 321
New Haven, CT, US
ZIP 065115991
Phone: 203-781-4600
Fax: 203-781-4624

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
004082260 CT MEDICAID 05
008001325 CT MEDICAID 05
008022626 CT MEDICAID 05
004082286 CT MEDICAID 05
500000315 CT MEDICAID 05
008022622 CT MEDICAID 05

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