JANE P GENIDO-TRUJILLO


Address: 270 Mohegan Ave., Student Health Services, New London, CT 06320
Phone: 8604392275

JANE P GENIDO-TRUJILLO (NPI# 1184876708) 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) 1184876708
Entity Type Individual
Full Name JANE P GENIDO-TRUJILLO
Credential MS,APRN
Practice Address 270 Mohegan Ave.
Student Health Services
New London
CT 06320
Practice Telephone 8604392275
Practice Fax Number 8608869262
Mailing Telephone 8604392275
Mailing Fax Number 8608869262
Enumeration Date 2008-10-14
Last Update Date 2018-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 077678 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
003887 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT CONNECTICARE 803887 01
CT 008003100 05

Office Location

Street Address 270 MOHEGAN AVE.
STUDENT HEALTH SERVICES
City NEW LONDON
State CT
Zip Code 06320

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1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1295137263 Jacqueline Durnell Registered Nurse 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 2014-09-22
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
1942474739 Allyson Abo Salek Pediatrics 53-c Granite Street, New London, CT 06320 2008-04-14
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073620647 John Joseph Cosenza Nurse Practitioner Va Clinic/uscga, 15 Mohegan Ave, New London, CT 06320 2006-08-23
1023025772 Susan H. Austen Nurse Practitioner 15 Mohegan Ave, New London, CT 06320 2006-08-02
1174540694 Lisa Stemm Nurse Practitioner 78 Viets St, New London, CT 06320-3354 2006-07-17
1205378163 Neurological Group, PC Nurse Practitioner 350 Montauk Ave, New London, CT 06320-4730 2016-11-09
1457705972 Agnes Maria Toplosky Nurse Practitioner 365 Montauk Ave, New London, CT 06320-4700 2016-04-21
1750744546 Maureen Leach Nurse Practitioner 194 Howard St, New London, CT 06320-5544 2016-03-30
1164856035 Dania Alexa Wilson Nurse Practitioner 194 Howard St, New London, CT 06320-5544 2013-08-28
1902150964 Ryan Rachael Chadek Nurse Practitioner 1405 Mill St, New London, WI 54961-2155 2012-10-30
1316116049 Susan M. Turley Nurse Practitioner 270 Mohegan Ave, New London, CT 06320-4125 2008-02-27
1962681403 Dianne Elizabeth Seidell Nurse Practitioner 365 Montauk Ave, New London, CT 06320-4700 2007-11-01
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Competitor

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City NEW LONDON
Zip Code 06320

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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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