MEDICARE: MRS. ELIZABETH ANN MCVEETY APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	001959	CT

General Provider Information

NPI Number	:	1780699553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH ANN MCVEETY APRN

Provider Business Mailing Address
First Line	:	330 ORCHARD STREET
Second Line	:	SUITE 216
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-4430
Country	:	US
Telephone Number	:	203-789-6047
Fax Number	:	203-782-6311

Provider Business Practice Location Address
First Line	:	330 ORCHARD STREET
Second Line	:	SUITE 216
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-4430
Country	:	US
Telephone Number	:	203-789-6047
Fax Number	:	203-782-6311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	07/08/2007

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