Maniscalco, Martha Shamy

Maniscalco, Martha Shamy is an individual health care provider with primary practice located at 300 Summit St , Hartford CT 06106-3100. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Maniscalco, Martha Shamy can be contacted via phone (860) 297-2018.

Contact Information

Primary practice address
300 Summit St Hartford CT 06106-3100
Phone: (860) 297-2018
Fax: (860) 297-2020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 003623 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 003623 Connecticut

Profile Details

NPI number 1952593782
LBN Legal business name Maniscalco, Martha Shamy
Credentials APRN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Mar 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952593782 NPPES
Connecticut MEDICAID 008023694

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