Healthcare Provider Details

I. General information

NPI: 1285659987
Provider Name (Legal Business Name): BARBARA J ESPOSITO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 12/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3074 WHITNEY AVE BOLD 1
HAMDEN CT
06518-2391
US

IV. Provider business mailing address

3074 WHITNEY AVE BOLD 1
HAMDEN CT
06518-2391
US

V. Phone/Fax

Practice location:
  • Phone: 203-287-2280
  • Fax: 203-230-9192
Mailing address:
  • Phone: 203-287-2280
  • Fax: 203-230-9192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number000286
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number000286
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: