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NPI Code Detail

MEDICARE: CAROLYN ROSE LEVY APRN

MEDICARE: CAROLYN ROSE LEVY 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
1163W00000XRegistered Nurse080929CT
2363LP0200XPediatric Nurse Practitioner9157CT

General Provider Information

NPI Number : 1922626654
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN ROSE LEVY APRN
Provider Business Mailing Address
First Line : 299 WASHINGTON AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3026
Country : US
Telephone Number : 203-288-4288
Fax Number :
Provider Business Practice Location Address
First Line : 299 WASHINGTON AVE STE LL
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3039
Country : US
Telephone Number : 203-288-4288
Fax Number : 203-288-1566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2020
Last Update Date : 05/03/2021

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Directions to “ CAROLYN ROSE LEVY APRN” Practice Location

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