ALEXA L CAROLAN


Address: 24 Penny Ln, Watertown, CT 06795-1734
Phone: 2032061146

ALEXA L CAROLAN (NPI# 1043810013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043810013
Entity Type Individual
Full Name ALEXA L CAROLAN
Practice Address 24 Penny Ln
Watertown
CT 06795-1734
Practice Telephone 2032061146
Enumeration Date 2020-10-29
Last Update Date 2020-10-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
8937 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 24 PENNY LN
City WATERTOWN
State CT
Zip Code 06795-1734

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1811505738 Ashley Swan Nurse Practitioner 1571 Washington St Ste 107, Watertown, NY 13601-9304 2020-07-16
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1215586854 Ashley Rydquist Nurse Practitioner 926 N 4th St, Watertown, WI 53098-2915 2019-09-06
1184133738 Melissa Mcintyre Nurse Practitioner 70 Fieldwood Rd, Watertown, CT 06795-3023 2017-09-27
1346783669 Nagma Kc Nurse Practitioner 263 School St, Watertown, MA 02472-1412 2016-11-18
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1598122947 Charles Staples Jr. Nurse Practitioner 205 Sylvan Lake Rd, Watertown, CT 06779-1450 2016-01-15
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Competitor

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City WATERTOWN
Zip Code 06795

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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