Rene, Iesha

Rene, Iesha is an individual health care provider with primary practice located at 184 Front Ave , West Haven CT 06516-2836. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Rene, Iesha can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
184 Front Ave West Haven CT 06516-2836
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 030491 Connecticut

Profile Details

NPI number 1356764427
LBN Legal business name Rene, Iesha
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356764427 NPPES
Connecticut MEDICAID 008068669
Connecticut MEDICAID 008068631

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