NANCY D BACCARO APRN (Credential# 680507) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
NANCY D BACCARO APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002329. The credential type is advanced practice registered nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 263 Farmington Ave, Farmington, CT 06030-8040. The current status is active.
Licensee Name | NANCY D BACCARO APRN |
Credential ID | 680507 |
Credential Number | 12.002329 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
263 Farmington Ave Farmington CT 06030-8040 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2000-08-07 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
612906 | 10.E42705 | Registered Nurse | 1980-09-15 | 2020-04-01 - 2021-03-31 | ACTIVE |
1265874 | CSP.0059389 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-02-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
241381 | CSP.0030047 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-07 - 2015-02-28 | INACTIVE |
Street Address | 263 FARMINGTON AVE |
City | FARMINGTON |
State | CT |
Zip Code | 06030-8040 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
Matthew D Goranson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
Jacob Silver | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
Nicholas Bellas | 263 Farmington Ave, Farmington, CT 06032-1956 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
Jennifer Hale | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
Cory R Hewitt | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
Sango Huwaa Mosia Asante | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
Ryan Desrochers | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
Kelsey D Greenhalgh | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 06030 |
City | FARMINGTON |
Zip Code | 06030 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + FARMINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy O Anson Aprn | 605 Fairway Vlg, Leeds, MA 01053-9746 | Advanced Practice Registered Nurse | 2009-01-20 ~ 2010-03-31 |
Nancy L Dennert Aprn | 550 Stonehouse Rd, Trumbull, CT 06611-1642 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Nancy A Hwang Aprn | 816 Broad St Ste 24, Meriden, CT 06450-4350 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Nancy L Rollinson Aprn | 79 West St, Shelton, CT 06484 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Nancy Hess Aprn | 400 Ridge Hill Rd, Oakdale, CT 06370-1845 | Advanced Practice Registered Nurse | 2013-01-01 ~ 2013-12-31 |
Nancy S. Mcphail Aprn | 1817 Abernathy Trl, Burlington, NC 27215-9462 | Advanced Practice Registered Nurse | 2012-08-01 ~ 2013-07-31 |
Nancy M Galati Aprn | 540 Carillan Parkway, Saint Petersburg, FL 33716 | Advanced Practice Registered Nurse | 2000-06-09 ~ 2001-05-31 |
Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
Jennifer Moriarty Aprn | Po Box 343, Weatogue, CT 06089-0343 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Jill V Tesei Aprn | 399 E Putnam Ave Ste 1, Cos Cob, CT 06807-2558 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).