Healthcare Provider Details

I. General information

NPI: 1437276805
Provider Name (Legal Business Name): JANET EILEEN RIMM A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 CHAPEL ST HOSPITAL OF SAINT RAPHAEL, CELENTANO ONE
NEW HAVEN CT
06511-4405
US

IV. Provider business mailing address

15 PAWSON LANDING DR
BRANFORD CT
06405-5121
US

V. Phone/Fax

Practice location:
  • Phone: 203-789-3824
  • Fax: 203-789-5145
Mailing address:
  • Phone: 203-483-7832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number003143
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: