NICOLE JEAN DATOR


Address: 120 Main St Fl 2, Danbury, CT 06810-7834
Phone: 2034561412

NICOLE JEAN DATOR (NPI# 1285295436) 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) 1285295436
Entity Type Individual
Full Name NICOLE JEAN DATOR
Credential DNP, APRN, PMHNP-BC
Practice Address 120 Main St Fl 2
Danbury
CT 06810-7834
Practice Telephone 2034561412
Mailing Telephone 2034561412
Enumeration Date 2019-06-27
Last Update Date 2019-10-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
008020 CT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
120 Main St Fl 4, Danbury, CT 068107834 2037439760

Office Location

Street Address 120 MAIN ST FL 2
City DANBURY
State CT
Zip Code 06810-7834

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NPI Name Taxonomy Address Enumeration
1235751017 Jai Karan Singh Student in an Organized Health Care Education/Training Program 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 2020-05-14
1497377576 Jahangir Rouzbehani Selakhor Student in an Organized Health Care Education/Training Program 24 Hospital Ave. 06810-6099, Danbury, CT 06810 2020-05-12
1255984043 Michelle Jean Moore Nurse Practitioner 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 2019-07-20
1740748755 Jose Rafael Rivera Pharmacist 305 White St, Danbury, CT 06810 2019-03-08
1013406396 Aswathi Elsa Mathew Student in an Organized Health Care Education/Training Program Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 2018-05-02
1073001772 Manish Kumar Gupta Student in an Organized Health Care Education/Training Program Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 2018-04-27
1396232005 Ayushman Rai Sood Student in an Organized Health Care Education/Training Program 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 2018-04-18
1366953705 Connecticut Neurodiagnostics, LLC Clinic/Center 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 2017-10-12
1528585569 Xing Zhu Dentist 28 Paulding Ter, Danbury, CT 06810 2017-08-29
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437107075 Karen Marie Mullaney Nurse Practitioner 72 North St Ste 103, Danbury, CT 06810-5653 2006-05-05
1508419144 Andrea S Chik Nurse Practitioner 75 West St, Danbury, CT 06810-6528 2019-07-23
1487179032 Beenu Karun Nurse Practitioner 152 West St, Danbury, CT 06810-6361 2017-08-04
1861940090 Jessica Ann Mcgroarty Nurse Practitioner 84 Hospital Ave, Danbury, CT 06810-6047 2016-09-16
1154879674 Allison Hayes Nurse Practitioner 84 Hospital Ave, Danbury, CT 06810-6047 2016-09-13
1811389372 Elizabeth Kahn Nurse Practitioner 24 Hospital Ave, Danbury, CT 06810-6099 2015-02-20
1407284052 Marina Melnikov Nurse Practitioner 38 Old Ridgebury Rd, Danbury, CT 06810-5128 2013-10-17
1942637970 Lisa Cari Vazquez Nurse Practitioner 24 Hospital Ave, Danbury, CT 06810-6099 2013-10-04
1609217058 Teegan Anne Ogiela Nurse Practitioner 24 Hospital Ave, Danbury, CT 06810-6099 2013-07-15
1720368699 Devon Peterson Carroll Nurse Practitioner 72 West St, Danbury, CT 06810-6531 2011-08-24
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Competitor

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City DANBURY
Zip Code 06810

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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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