MEDICARE: MS. NOVELYN CULBENGAN COSMIANO 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	363LA2200X	Adult Health Nurse Practitioner	7390	CT

General Provider Information

NPI Number	:	1346749884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NOVELYN CULBENGAN COSMIANO APRN

Provider Business Mailing Address
First Line	:	33 HIDDEN PINES CIR
Second Line	:
City	:	MERIDEN
State	:	CT
Zip	:	06451-2212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 ASYLUM ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06103-3408
Country	:	US
Telephone Number	:	860-383-9370
Fax Number	:

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

Provider Enumeration Date	:	02/11/2018
Last Update Date	:	01/18/2026

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