MARA CHAMOURES


Address: 1 Hawley Ln, Stratford, CT 06614-1200
Phone: 8663892727

MARA CHAMOURES (NPI# 1124576152) 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) 1124576152
Entity Type Individual
Full Name MARA CHAMOURES
Other Name MARA BLUMETTI
Credential NP-C
Practice Address 1 Hawley Ln
Stratford
CT 06614-1200
Mailing Address 5 Pine Crest Ln
New Fairfield
CT 06812-2217
Practice Telephone 8663892727
Mailing Telephone 3043769708
Enumeration Date 2016-09-20
Last Update Date 2020-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
6738 CT Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
APRN002497 NV Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
680 N Mccarran Blvd, Sparks, NV 894314600 7753596808

Office Location

Street Address 1 HAWLEY LN
City STRATFORD
State CT
Zip Code 06614-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891899720 Connecticut Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 1 Hawley Ln, Stratford, CT 06614-1200 2006-09-12
1083226013 Shaneika Amanda Mckenzie Nurse Practitioner 1 Hawley Ln, Stratford, CT 06614-1200 2020-08-20
1598304354 Michael A Costa Pharmacist 1 Hawley Ln, Stratford, CT 06614-1200 2019-12-26
1851937692 Amy Lynn Wargo Nurse Practitioner 1 Hawley Ln, Stratford, CT 06614-1200 2019-11-26
1407219785 Melanie Laskowski Pharmacist 1 Hawley Ln, Stratford, CT 06614-1200 2016-04-03
1023494036 Christine Rosa Nurse Practitioner 1 Hawley Ln, Stratford, CT 06614-1200 2015-08-03
1982956116 Erin Elizabeth Rossettie Nurse Practitioner 1 Hawley Ln, Stratford, CT 06614-1200 2012-10-11
1083752893 Jacqueline Spano Nurse Practitioner 1 Hawley Ln, Stratford, CT 06614-1200 2007-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588139604 David A Crosby Physician Assistant 125 Pumpkin Ground Road, Stratford, CT 06614 2018-10-04
1710489232 Karen Marie Laconte Naturopath 720 Hilltop Dr, Stratford, CT 06614 2018-02-28
1972024693 Amanda Wilson Social Worker 60 Edmund Street, Stratford, CT 06614 2017-07-03
1558801423 Kristine Lynn Conlan Physical Therapist 55 Pasadena Ave., Stratford, CT 06614 2017-02-27
1811440258 Seokwon Kwon Dentist 320 Boston Ave, Stratford, CT 06614 2016-08-02
1093176141 Kathleen G Domek Technician/Technologist 150 Barnum Avenue Cut Off, Stratford, CT 06614 2016-03-17
1417328634 Kelley Machado Social Worker 2127 Nichols Ave, Stratford, CT 06614 2015-10-14
1043629553 Jennifer Woods-mesquita Social Worker 125 Greenlawn Ave, Stratford, CT 06614 2014-08-08
1437564010 Jose R. Pacheco Obstetrics & Gynecology 120 Brightwood Ave, Stratford, CT 06614 2014-06-23
1740612829 Stanley Brovender General Practice 773b Pontiac Lane, Stratford, CT 06614 2013-07-31
Find all providers in zip 06614

Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538705181 Jessi Runyan Nurse Practitioner 50365 E County Road 1580, Stratford, OK 74872-6769 2019-11-19
1710544861 Shaday Nakai Davis Nurse Practitioner 490 Sherwood Pl Apt B20, Stratford, CT 06615-6543 2019-05-23
1396301206 Christina Victoria Carman Nurse Practitioner 11 Sunnybrook Rd Unit A, Stratford, NJ 08084-1635 2019-05-15
1649743550 Alma Micheala Joseph Nurse Practitioner 81 Peck St, Stratford, CT 06614-4443 2019-01-03
1700357233 Holistic Psychiatric Services LLC Nurse Practitioner 2875 Main St Ste 2a, Stratford, CT 06614-4979 2018-12-10
1063987808 Liza Halper Nurse Practitioner 1450 James Farm Rd, Stratford, CT 06614-1090 2018-10-08
1477000370 Heather Previs Nurse Practitioner 3426 Main St, Stratford, CT 06614-4118 2016-09-08
1093185308 Colleen Mcdougall Nurse Practitioner 205 Quenby Pl, Stratford, CT 06614-1863 2015-09-29
1114309317 Destiny Ruosa Mitchell Nurse Practitioner 217 W Smith Street, Stratford, OK 74872 2015-06-24
1295860971 Krista Brown Nurse Practitioner 1220 Purnell St, Stratford, TX 79084-1107 2007-02-22
Find all providers in STRATFORD

Competitor

Search similar providers

City STRATFORD
Zip Code 06614

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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