Czarnecki, Christie M
Czarnecki, Christie M is an individual health care provider with primary practice located at 130 Division St , Derby CT 06418-1326. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Czarnecki, Christie M can be contacted via phone (203) 732-7252.Contact Information
Primary practice address
130 Division St
Derby CT 06418-1326
Phone: (203) 732-7252
Fax: (203) 732-1539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 9360 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | F350455 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 9360 | Connecticut |
Profile Details
| NPI number | 1255993762 |
|---|---|
| LBN Legal business name | Czarnecki, Christie M |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2019 |
| Last updated | Apr 30th, 2024 - about 2 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 | 1255993762 | NPPES |
| New York | MEDICAID | F350455 |
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