Healthcare Provider Details

I. General information

NPI: 1902510910
Provider Name (Legal Business Name): JOANNA EWELINA MAJCHER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2023
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 KENSINGTON AVE
NEW BRITAIN CT
06051-3916
US

IV. Provider business mailing address

70 MARIA RD
PLAINVILLE CT
06062-2543
US

V. Phone/Fax

Practice location:
  • Phone: 860-832-8150
  • Fax:
Mailing address:
  • Phone: 860-371-5306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11195
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: