| Donna Civardi Rnfa, Aprn, Fnp-bc, Llc | |
|
18 Oneco St Suite 2 Norwich CT 06360-3440 | |
| (860) 383-2024 | |
| Not Available |
| Full Name | Donna Civardi Rnfa, Aprn, Fnp-bc, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18 Oneco St, Norwich, Connecticut |
| Authorized Official Name and Position | Donna M Civardi (OWNER) |
| Authorized Official Contact | 8603832024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Civardi Rnfa, Aprn, Fnp-bc, Llc 18 Oneco St Suite 2 Norwich CT 06360-3440 Ph: (860) 383-2024 | Donna Civardi Rnfa, Aprn, Fnp-bc, Llc 18 Oneco St Suite 2 Norwich CT 06360-3440 Ph: (860) 383-2024 |
| NPI Number | 1043520604 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/18/2010 |
| Medicare PECOS PAC ID | 1052508819 |
|---|---|
| Medicare Enrollment ID | O20101207000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043520604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 004438 (Connecticut) | Primary |
| Provider Name | Donna M Civardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831230119 PECOS PAC ID: 9032306899 Enrollment ID: I20101207000380 |
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