MEDICARE: MS. BARBARA J ESPOSITO APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	000286	CT
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	000286	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285659987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA J ESPOSITO APRN

Provider Business Mailing Address
First Line	:	3074 WHITNEY AVE
Second Line	:	BOLD 1
City	:	HAMDEN
State	:	CT
Zip	:	06518-2391
Country	:	US
Telephone Number	:	203-287-2280
Fax Number	:	203-230-9192

Provider Business Practice Location Address
First Line	:	3074 WHITNEY AVE
Second Line	:	BOLD 1
City	:	HAMDEN
State	:	CT
Zip	:	06518-2391
Country	:	US
Telephone Number	:	203-287-2280
Fax Number	:	203-230-9192

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	12/05/2018

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