MS. MARY CATHERINE EGAN MIECZKOWSKI


Address: 1301 Farmington Ave, Bristol, CT 06010-4776
Phone: 8605894501

MS. MARY CATHERINE EGAN MIECZKOWSKI (NPI# 1679736870) 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) 1679736870
Entity Type Individual
Full Name MS. MARY CATHERINE EGAN MIECZKOWSKI
Credential APRN PNP BC
Practice Address 1301 Farmington Ave
Bristol
CT 06010-4776
Practice Telephone 8605894501
Practice Fax Number 8605894502
Mailing Telephone 8605894501
Mailing Fax Number 8605894502
Enumeration Date 2008-07-08
Last Update Date 2020-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
002742 CT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
176 Babcock Street, Maria Colon Sanchez Elementary School School Based Heal, Hartford, CT 06106 8606954940 8605603493

Office Location

Street Address 1301 FARMINGTON AVE
City BRISTOL
State CT
Zip Code 06010-4776

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952309924 Lisa Menillo Pediatrics 1301 Farmington Ave, Bristol, CT 06010-4776 2005-07-13
1902357163 The Pediatric Care Center, LLC Pediatrics 1301 Farmington Ave, Bristol, CT 06010-4776 2016-10-21
1528120094 Susan Adeola Adeife Lee Pediatrics 1301 Farmington Ave, Bristol, CT 06010-4776 2006-12-14

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NPI Name Taxonomy Address Enumeration
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1962062810 Ariel Morley Urology 15 Riverside Avenue, Bristol, CT 06010 2019-06-13
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1588103600 Elizabeth Anne Costello Pharmacist 747 Pine Street, Bristol, CT 06010 2017-02-22
1992157903 Aiman Riaz Internal Medicine 41 Brewster Rd # 5161, Bristol, CT 06010 2016-07-01
1346609955 Monika Magdalena Sullivan Nurse Practitioner 122 Maple Street, Bristol, CT 06010 2016-02-11
1346660776 Peter Bellezza Podiatrist 15 Riverside Ave, Bristol, CT 06010 2014-04-24
1487088001 Stephen Alexander Merwin Social Worker 32 Laird Drive, Bristol, CT 06010 2013-08-30
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902818966 Donna Urbinati Nurse Practitioner 160 Wolcott St, Bristol, CT 06010-6422 2006-08-11
1619593928 Megan Sydney Sosensky Nurse Practitioner 160 Wolcott St, Bristol, CT 06010-9701 2020-06-23
1144591595 The Pediatric Care Center LLC Nurse Practitioner 780 Farmington Ave, Bristol, CT 06010-3920 2012-01-17
1972604619 Nancy S Shisler Nurse Practitioner 320 Steeles Rd, Bristol, TN 37620-9532 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447878855 Ashley Elusma Nurse Practitioner 92 New London Tpke # 1, Norwich, CT 06360-2616 2020-07-13
1396382792 Jessca Morcone Nurse Practitioner 640 Brookside Dr, Fairfield, CT 06824-2419 2019-12-04
1790337137 Elizabeth R Renker Nurse Practitioner 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 2019-07-16
1508347162 Bright Futures Wellness Center, LLC Nurse Practitioner 422-426 Highland Avenue, Cheshire, CT 06410 2018-08-22
1487180840 Meghan Mccarthy Warzoha Nurse Practitioner 2001 W Main St Ste 132, Stamford, CT 06902-4544 2017-05-04
1891179537 Heather Deal Nurse Practitioner 347 Hartford Turnpike, Vernon, CT 06066 2015-07-13
1083020051 Douglas Mccoy Nurse Practitioner 46 Albion St., Bridgeport, CT 06605 2014-07-10
1740602515 Smart Start Pediatrics Nurse Practitioner 27 Sycamore St., Suite 300, Glastonbury, CT 06033 2014-01-14
1780013102 Elizabeth Anavy Nurse Practitioner 195 Hillandale Ave, Stamford, CT 06902-2823 2013-11-06
1174951669 Bela Kirit Dharia Nurse Practitioner 55 Lock Street, Yale Health, New Haven, CT 06511-3603 2013-10-22
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Competitor

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City BRISTOL
Zip Code 06010

Improve Information

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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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