Healthcare Provider Details

I. General information

NPI: 1225953094
Provider Name (Legal Business Name): KATHERINE ADRIANA ALBAN BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

7 FAIRFIELD AVE APT 7
NORWALK CT
06854-2101
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-2330
  • Fax:
Mailing address:
  • Phone: 203-505-5755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number186820
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: