Carrera, Marcy Ann
Carrera, Marcy Ann is an individual health care provider with primary practice located at 275 Mount Carmel Ave Bldg 4 , Hamden CT 06518-1905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carrera, Marcy Ann can be contacted via phone (203) 582-8545.Contact Information
Primary practice address
275 Mount Carmel Ave Bldg 4
Hamden CT 06518-1905
Phone: (203) 582-8545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001413 | Connecticut |
Profile Details
| NPI number | 1073580833 |
|---|---|
| LBN Legal business name | Carrera, Marcy Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | May 14th, 2020 - about 6 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 | 1073580833 | NPPES |
| Connecticut | Other | 2V5067 | HEALTHNET |
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