JUDITH CONWAY APRN
Surgery Yellow Pages
Farmington, Connecticut
Provider NPI: 1174510424
Provider Information:JUDITH CONWAY APRN
Practice Location:
263 FARMINGTON AVE GASTROENTEROLOGY ASSOCIATES FARMINGTON, CT 06030 US
Tel: 860-679-3238 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 364SM0705X | Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Medical-Surgical | CT | 000552 |
Y | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist | CT | 000552 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4223442 | CT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin