MEDICARE: CHRISTINA BADEN 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	E56716	CT

General Provider Information

NPI Number	:	1992706832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA BADEN APRN

Provider Business Mailing Address
First Line	:	80 HILLSIDE AVE
Second Line	:
City	:	PLANTSVILLE
State	:	CT
Zip	:	06479-1526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 WOODLAWN TER
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06710-1721
Country	:	US
Telephone Number	:	203-756-8021
Fax Number	:

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/08/2007

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Directions to “ CHRISTINA BADEN APRN” Practice Location

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