EMINA EFENDIC


Address: 102 Folly Brook Blvd Apt 4, Wethersfield, CT 06109-4515
Phone: 8604786016

EMINA EFENDIC (NPI# 1093363301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093363301
Entity Type Individual
Full Name EMINA EFENDIC
Credential APRN
Practice Address 102 Folly Brook Blvd Apt 4
Wethersfield
CT 06109-4515
Practice Telephone 8604786016
Mailing Telephone 8604786016
Enumeration Date 2019-08-29
Last Update Date 2019-08-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
94515 CT Nursing Service Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
8428 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 102 FOLLY BROOK BLVD APT 4
City WETHERSFIELD
State CT
Zip Code 06109-4515

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1659806404 Lauren M Mcgrath Physical Therapist 672 Silas Deane Highway, Wethersfield, CT 06109 2017-04-28
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1629455910 Melanie Anne Parker Physical Therapist 850 Silas Deane Hwy #2, Wethersfield, CT 06109 2015-05-06
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922642966 Joel A Tudisco Registered Nurse 65 Warren St Apt 1, New London, CT 06320-2732 2019-11-02
1871082032 Lynne Severance Registered Nurse 121 Highland Ave, Hamden, CT 06518 2018-05-03
1053819292 Stephanie Sloan Registered Nurse 627 Norwick New London Turnpike, Uncasville, CT 06382-2122 2018-01-23
1609301910 Phillip Jones Registered Nurse 33 Canner St, Apt 2, New Haven, CT 06511-2503 2017-04-24
1538600051 Doris Lippman Registered Nurse 18 Sylvan Road South, Westport, CT 06880 2017-03-16
1649307778 Jana D. Weiss Wuerth Registered Nurse 2 Graves Ave, Suite A, Guilford, CT 06437-2626 2007-02-27
1831262179 Tera L Gahlsdorf Registered Nurse 780 Summer St, Stamford, CT 06901-1089 2006-11-16
1902988223 Donna B Augusto Registered Nurse 400 Bayonet St Suite 304, New London, CT 06320 2006-10-19
1427140243 Barbara Ellen Peluse Registered Nurse Vact Healthcare System, 950 Campbell Ave, West Haven, CT 06516 2006-09-29
1649362617 Patricia Elizabeth Helm Registered Nurse 281 Judwin Ave, New Haven, CT 06515-2316 2006-09-28
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Competitor

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City WETHERSFIELD
Zip Code 06109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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