Healthcare Provider Details

I. General information

NPI: 1295244473
Provider Name (Legal Business Name): KATIE ANNE LIMAURO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE ANNE BROWN APRN

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK STREET WP8 WP8
NORTH HAVEN CT
06510
US

IV. Provider business mailing address

20 YORK STREET WP8 WP8
NORTH HAVEN CT
06510
US

V. Phone/Fax

Practice location:
  • Phone: 475-246-4168
  • Fax: 203-234-8533
Mailing address:
  • Phone: 475-246-4168
  • Fax: 203-234-8533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number101509
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7241
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: