Baldino, Mary Ellen
Baldino, Mary Ellen is an individual health care provider with primary practice located at 333 Cedar St , New Haven CT 06510-3206. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Baldino, Mary Ellen can be contacted via phone (203) 200-2255.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3128 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 3128 | Connecticut |
Profile Details
| NPI number | 1417958364 |
|---|---|
| LBN Legal business name | Baldino, Mary Ellen |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Feb 3rd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417958364 | NPPES |
| Connecticut | MEDICAID | 004246494 |
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