| Corcoran Aprn Llc | |
|
109 Danbury Rd Ridgefield CT 06877-4142 | |
| (203) 431-1344 | |
| Not Available |
| Full Name | Corcoran Aprn Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 109 Danbury Rd, Ridgefield, Connecticut |
| Authorized Official Name and Position | Karen Joyce Corcoran (APRN) |
| Authorized Official Contact | 2034311344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corcoran Aprn Llc 30 Main St Ridgefield CT 06877-4927 Ph: (203) 431-1344 | Corcoran Aprn Llc 109 Danbury Rd Ridgefield CT 06877-4142 Ph: (203) 431-1344 |
| NPI Number | 1700315751 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 06/05/2017 |
| Medicare PECOS PAC ID | 7618248519 |
|---|---|
| Medicare Enrollment ID | O20170811000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700315751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 005855 (Connecticut) | Primary |
| Provider Name | Karen Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952700726 PECOS PAC ID: 5991021297 Enrollment ID: I20170830002065 |
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