Brazzell, Beverly

Brazzell, Beverly is an individual health care provider with primary practice located at 1 Long Wharf Dr , New Haven CT 06511-5991. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Brazzell, Beverly can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
1 Long Wharf Dr New Haven CT 06511-5991
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 39143 Connecticut

Profile Details

NPI number 1083002182
LBN Legal business name Brazzell, Beverly
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2014
Last updated Jan 24th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083002182 NPPES
Connecticut MEDICAID 004041000
Connecticut MEDICAID 008003745

Popular Providers