LARISSA CAMANO-SELCA


Address: 1202 Eaton Ct, Danbury, CT 06811-4052
Phone: 2039179272

LARISSA CAMANO-SELCA (NPI# 1700128659) 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) 1700128659
Entity Type Individual
Full Name LARISSA CAMANO-SELCA
Other Name LARISSA CAMANO
Credential RN, BSN, FNP-BC
Practice Address 1202 Eaton Ct
Danbury
CT 06811-4052
Practice Telephone 2039179272
Mailing Telephone 2039179272
Enumeration Date 2013-03-19
Last Update Date 2014-11-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
005307 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1202 EATON CT
City DANBURY
State CT
Zip Code 06811-4052

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1578937736 Roseni D Pease Nurse Practitioner 11 Osborne Street, Danbury, CT 06810 2015-11-25
1407197072 Carolyn Ann Kelly Nurse Practitioner 11 Osborne St, Danbury, CT 06810-5918 2013-03-07
1396030383 Swapna Mathew Varghese Nurse Practitioner 13 French St, Danbury, CT 06810-5306 2011-06-17
1750617817 Amy Smith Nurse Practitioner 100 Reserve Rd Ste A4, Danbury, CT 06810-5267 2009-10-26
1831331602 Tara Marie Ackerly Nurse Practitioner 41 Germantown Rd Ste B05, Anticoagulation Center, Danbury, CT 06810-4087 2009-03-25
1558550517 Marianne Treantafilos Nurse Practitioner 30 Milestone Rd., Danbury, CT 06810 2007-10-16
1417175845 Jennifer S Handau Nurse Practitioner 72 Hospital Avenue, Danbury, CT 06810 2007-04-23
1225638950 Maureen Lore Nurse Practitioner 27 Hospital Ave, Danbury, CT 06810-5954 2020-10-30
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Competitor

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City DANBURY
Zip Code 06811

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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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