Kaczegowicz, Nanci E

Kaczegowicz, Nanci E is an individual health care provider with primary practice located at 115 Technology Dr Suite B-106, Trumbull CT 06611-6337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kaczegowicz, Nanci E can be contacted via phone (203) 452-1411.

Contact Information

Primary practice address
115 Technology Dr Suite B-106 Trumbull CT 06611-6337
Phone: (203) 452-1411
Fax: (203) 452-1412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002926 Connecticut

Profile Details

NPI number 1487657276
LBN Legal business name Kaczegowicz, Nanci E
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 26th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487657276 NPPES
Connecticut MEDICAID 004242442

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