MRS. RAVNEET KAUR BHARARA


Address: 80 Phoenix Ave, Waterbury, CT 06702-1418
Phone: 2037568021

MRS. RAVNEET KAUR BHARARA (NPI# 1801105036) 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) 1801105036
Entity Type Individual
Full Name MRS. RAVNEET KAUR BHARARA
Credential APRN
Practice Address 80 Phoenix Ave
Waterbury
CT 06702-1418
Mailing Address 95 Scoville Ave
Waterbury
CT 06706
Practice Telephone 2037568021
Practice Fax Number 2034655222
Mailing Telephone 2034565292
Enumeration Date 2010-10-05
Last Update Date 2018-11-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
004489 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
004489 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 008026219 05

Office Location

Street Address 80 PHOENIX AVE
City WATERBURY
State CT
Zip Code 06702-1418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497756902 Michael Bass Dentist 80 Phoenix Ave, Suite #102, Waterbury, CT 06702-1418 2005-08-09
1356996920 Raeven B Keene Dental Hygienist 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-08-09
1578022166 Daedly Potusek Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-03-14
1598239873 Ashley Corso Dental Hygienist 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-01-19
1326510801 Monica Rose Depaolo Dental Hygienist 80 Phoenix Ave, Waterbury, CT 06702-1418 2018-12-21
1023536232 Courtney Dowen Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2017-09-07
1851834147 Lindsey Maloney Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2016-11-18
1063864346 Miguel Mantilla Internal Medicine 80 Phoenix Ave, Waterbury, CT 06702-1418 2016-07-11
1124477518 George Gogas Social Worker 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 2016-06-07
1649626300 Irene Maturo Dental Hygienist 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 2016-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780120295 Melitza Velez Counselor 80 Prospect St., Waterbury, CT 06702 2017-01-09
1467813600 Ashley Joseph Counselor 30 Holmes Ave, Waterbury, CT 06702 2016-03-16
1649662313 Lori Arens Social Worker 141 E Main St Fl 4, Waterbury, CT 06702 2015-03-04
1265725584 Zelda Shleifer Audiologist 21 W Main St Fl Place-3, Waterbury, CT 06702 2011-05-19
1700024585 Charlene Angela Jurgaitis Durable Medical Equipment & Medical Supplies 102 Grand Street, Waterbury, CT 06702 2009-02-02
1518090570 Nathan Z Imre Pharmacist 161 East Main St Central Pharmacy, Waterbury, CT 06702 2007-03-13
1922149467 Rachael A Petitti Social Worker 402 East Main Street, Waterbury, CT 06702 2007-02-09
1710024484 Abbot Terrace Health Center Assisted Living Facility 44 Abbott Terrace, Waterbury, CT 06702 2007-01-31
1205994555 Michael Arcangel Padilla Social Worker Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 2006-12-05
1205902723 Colette M Anderson Social Worker 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 2006-11-27
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992363931 Teresa Ann Vollmart Nevin Nurse Practitioner 276 Highland Ave, Waterbury, CT 06708-3022 2019-06-04
1558880435 Kate Rooney Nurse Practitioner 969 W Main St, Waterbury, CT 06708-2653 2017-09-12
1306043955 John A Salerno, Md Nurse Practitioner 60 Westwood Ave, Suite 250, Waterbury, CT 06708-2460 2007-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578161170 Lisa B Stein Nurse Practitioner 861 Brooklawn Ave, Fairfield, CT 06825-1809 2020-10-15
1194322800 Constantin Razvan Popescu Nurse Practitioner 46 Summer View Dr, Monroe, CT 06468-2001 2020-10-06
1538785902 Lms Health LLC Nurse Practitioner 2001 W Main St Ste 244, Stamford, CT 06902-4544 2020-06-22
1760001010 Mobile Care Partners of Connecticut Pllc Nurse Practitioner 44 Luzi Dr Apt 960, Bantam, CT 06750-1619 2020-04-15
1740811454 Melissa Jennifer Mokel Nurse Practitioner 122 Cornerstone Dr, South Windsor, CT 06074-6303 2020-01-31
1861037533 Olga Poznyur Nurse Practitioner 19 Woodland St Ste 21, Hartford, CT 06105-2372 2019-11-16
1356996904 Virginia Tran Nurse Practitioner 39 Maple Tree Ave Unit 34, Stamford, CT 06906-2273 2019-08-09
1336705839 Rose-ann Cashema Richards Nurse Practitioner 34 Heather Ln, Manchester, CT 06040-6903 2019-05-10
1144706631 Chana Judith Hoagland Nurse Practitioner 276 Quarry Brook Drive, South Windsor, CT 06074 2018-07-17
1427549088 Kelly Elizabeth Sullivan Nurse Practitioner 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 2018-05-19
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Competitor

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City WATERBURY
Zip Code 06702

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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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