NPI Code Details Logo

NPI 1760001010

NPI 1760001010 : MOBILE CARE PARTNERS OF CONNECTICUT PLLC : BANTAM, CT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760001010
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MOBILE CARE PARTNERS OF CONNECTICUT PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/15/2020
-----------------------------------------------------
    Last Update Date     |    02/28/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    44 LUZI DR APT 960 
-----------------------------------------------------
    City                 |    BANTAM
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06750-1619
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    203-500-5333
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 960 
-----------------------------------------------------
    City                 |    BANTAM
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06750-0960
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    DR. LINDSEY  MALONEY 
-----------------------------------------------------
    Credential           |    DNP
-----------------------------------------------------
    Telephone            |    203-500-5333
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.