MS. MARY ANN OBEREMBT


Address: 357 Franklin Ave, Hartford, CT 06114-2540
Phone: 8602964022

MS. MARY ANN OBEREMBT (NPI# 1073676748) 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) 1073676748
Entity Type Individual
Full Name MS. MARY ANN OBEREMBT
Other Name MS. MARY A LAGASSE
Credential M.S. B.C
Practice Address 357 Franklin Ave
Hartford
CT 06114-2540
Mailing Address 30 Jordan Ln
Wethersfield
CT 06109-1278
Practice Telephone 8602964022
Practice Fax Number 8602965015
Mailing Telephone 8602630253
Mailing Fax Number 8602630262
Enumeration Date 2006-12-18
Last Update Date 2009-12-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
001354 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 357 FRANKLIN AVE
City HARTFORD
State CT
Zip Code 06114-2540

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1790769107 Maria Anna M Go Nurse Practitioner Evercare, 450 Columbus Avenue, Hartford, CT 06103-6270 2005-11-30
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Competitor

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City HARTFORD
Zip Code 06114

Improve Information

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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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