MARIAN CANCELLIERE (NPI# 1174889216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174889216 |
| Entity Type | Individual |
| Full Name | MARIAN CANCELLIERE |
| Other Name | MARIAN DIACHENKO |
| Credential | APRN |
| Practice Address |
587 Middle Tpke E Manchester CT 06040-3731 |
| Practice Telephone | 8608744774 |
| Practice Fax Number | 8606454132 |
| Mailing Telephone | 8608744774 |
| Mailing Fax Number | 8606454132 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
001653 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
587 MIDDLE TPKE E |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891734216 | Julie Hurley | Clinical Nurse Specialist | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2006-06-05 |
| 1275985863 | Gabriela Gatica | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2016-07-07 |
| 1639520828 | Amanda Brozowsky | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2016-06-29 |
| 1255792891 | Carrie Robinson | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2016-03-10 |
| 1124485867 | Marta Katarzyna Lachcik | Pharmacist | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2016-01-26 |
| 1831554443 | Kriston Leverone | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-12-24 |
| 1346613841 | Brittney Bouier | Student in an Organized Health Care Education/Training Program | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-11-05 |
| 1043689094 | Jeremy Halek | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-09-21 |
| 1881063170 | Novelette Brown | Student in an Organized Health Care Education/Training Program | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-09-17 |
| 1013386382 | Sarah Perez | Student in an Organized Health Care Education/Training Program | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104072073 | Patricia D. Barry, Phd, Aprn, LLC | Clinical Nurse Specialist | 60 Linnard Rd, West Hartford, CT 06107-1234 | 2008-08-12 |
| 1336262989 | Cara Marie Bartos | Clinical Nurse Specialist | 152 Simsbury Road, Building 9, Avon, CT 06001 | 2007-04-09 |
| 1669519724 | Linda Noll Demas | Clinical Nurse Specialist | 8 Ridge Dr, Old Saybrook, CT 06475-4227 | 2007-01-30 |
| 1083769590 | Nicholas Roy Gilbert | Clinical Nurse Specialist | 152 Simsbury Rd, Building 9, 2nd Floor, Avon, CT 06001-3777 | 2007-01-24 |
| 1306909601 | Lisabeth Emerson Johnston | Clinical Nurse Specialist | 361 Park Road, West Hartford, CT 06119 | 2006-12-18 |
| 1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
| 1326058926 | Colleen Mcdermott | Clinical Nurse Specialist | 151 Hazard Ave Suite 4, Johnson Professional Associates, Enfield, CT 06082 | 2006-08-08 |
| 1205842127 | Arlene Dumais | Clinical Nurse Specialist | 402 Long Hill Rd, Groton, CT 06340-3811 | 2006-07-31 |
| 1598787087 | Brian Geyser | Clinical Nurse Specialist | 51 Old Village Cir, Wallingford, CT 06492-4821 | 2006-07-24 |
| 1275553562 | Debra Ann Santos | Clinical Nurse Specialist | 282 Durham Rd, Madison, CT 06443-2454 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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| 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.