MS. MEREDITH WALLACE KAZER (NPI# 1679633747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679633747 |
| Entity Type | Individual |
| Full Name | MS. MEREDITH WALLACE KAZER |
| Credential | PHD, APRN-BC |
| Practice Address |
52 Washington Ave Suite 4 North Haven CT 06473-1724 |
| Mailing Address |
842 Edgewood Ave New Haven CT 06515-2246 |
| Practice Telephone | 2036722800 |
| Practice Fax Number | 2036722801 |
| Mailing Telephone | 2033973100 |
| Mailing Fax Number | 2032544126 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
002766 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
002766 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
52 WASHINGTON AVE SUITE 4 |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316933419 | Fausto Petruzziello | Internal Medicine | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2005-09-23 |
| 1316316474 | Kriezel Charmel Ersando Presta | Physician Assistant | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2015-09-18 |
| 1528460565 | Barbara Bacal | Dietitian, Registered | 52 Washington Ave, North Haven, CT 06473-1724 | 2014-09-22 |
| 1487904520 | Nikit Y Shah | Physician Assistant | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2012-09-17 |
| 1083922470 | Synergy Rehabilitation LLC | Physical Therapist | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2010-09-20 |
| 1598073348 | Ralph Laudano Mauriello | Physical Therapist | 52 Washington Ave, North Haven, CT 06473-1724 | 2010-09-15 |
| 1902095003 | Family Practice & Internal Medicine, LLC | Nurse Practitioner | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2007-10-15 |
| 1205035664 | Olivia M Kousky | Physician Assistant | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2007-07-16 |
| 1578607727 | Assunta Maria Sandor | Physician Assistant | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2007-02-19 |
| 1093856833 | Rebecca Jude Grillo | Physician Assistant | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1467944884 | Julian Cano | Acupuncturist | 444b Washington Ave, North Haven, CT 06473 | 2018-06-01 |
| 1487195848 | Wigtowne | Durable Medical Equipment & Medical Supplies | 117 Washington Ave., North Haven Shopping Cntr, North Haven, CT 06473 | 2017-03-17 |
| 1528415205 | Laura Michelle Delucia | Social Worker | 451 State St., North Haven, CT 06473 | 2016-05-23 |
| 1356702153 | Technical Gas Products, Inc. | Durable Medical Equipment & Medical Supplies | 1510 Canton Center Dr, Baltimore, MD 06473 | 2016-03-08 |
| 1043600687 | John Maltagliati | Pharmacy Technician | 200 Universal Dr. North, North Haven, CT 06473 | 2015-02-04 |
| 1184025603 | Hollyann C Mcnabola | Social Worker | 130 Washington Avenue, Upper Level, North Haven, CT 06473 | 2014-09-16 |
| 1194136648 | Carol Hogan | Speech-Language Pathologist | 54 Potter Rd, North Haven, CT 06473 | 2014-05-17 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1396174280 | Azeez O Oladejo | Pharmacist | 2 Universal Drive North, North Haven, CT 06473 | 2013-11-01 |
| Find all providers in zip 06473 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639583081 | Alana Therese Pomarico | Nurse Practitioner | 4a Devine St, North Haven, CT 06473-2142 | 2014-06-13 |
| 1720634660 | Nichole Brown | Nurse Practitioner | 360 Universal Dr N, North Haven, CT 06473 | 2019-08-15 |
| 1306319413 | Jennifer B. Lee | Nurse Practitioner | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997847 | Rachel Sarmento | Nurse Practitioner | 13 Sanford Dr, Shelton, CT 06484-5507 | 2020-09-23 |
| 1699399618 | Ann Monica Boisvert | Nurse Practitioner | 5 Perryridge Rd Ste 2-248, Greenwich, CT 06830-4608 | 2020-06-05 |
| 1861041121 | Huong T Nguyen | Nurse Practitioner | 400 Capital Blvd Ste 3, Rocky Hill, CT 06067-3576 | 2019-09-10 |
| 1598319980 | Daniella Gould | Nurse Practitioner | 75 Kings Highway Cutoff Ofc, Fairfield, CT 06824-5340 | 2019-07-24 |
| 1770042038 | Linda Lee Meyer | Nurse Practitioner | 320 Lakeview Ave, Waterbury, CT 06705-2145 | 2019-03-17 |
| 1942766761 | Lawrence M Anderson | Nurse Practitioner | 92 Harwood Rd, Waterbury, CT 06706-2420 | 2019-02-17 |
| 1912497751 | Catherine Rice | Nurse Practitioner | 25 Commerce Rd, Newtown, CT 06470-1607 | 2018-05-17 |
| 1407346323 | Irene D Gumboc | Nurse Practitioner | 99 Starr St, Norwich, CT 06360-4025 | 2018-05-16 |
| 1326546839 | Kristin Holly Van Horn | Nurse Practitioner | Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 | 2018-01-30 |
| 1891207411 | Michelene Wray | Nurse Practitioner | 474 Cowperthwaite St Apt C, Danbury, CT 06811-5518 | 2017-11-05 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HAVEN |
| Zip Code | 06473 |
Please comment or provide details below to improve the information on MS. MEREDITH WALLACE KAZER.
| 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.