CRISTIANA CLARK


Address: 100 Grand St, New Britain, CT 06052
Phone: 8602245691

CRISTIANA CLARK (NPI# 1346732716) 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) 1346732716
Entity Type Individual
Full Name CRISTIANA CLARK
Credential APRN
Practice Address 100 Grand St
New Britain
CT 06052
Mailing Address 825 Orange St Apt 2
New Haven
CT 06511-2507
Practice Telephone 8602245691
Mailing Telephone 8176818674
Enumeration Date 2018-06-01
Last Update Date 2018-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 121533 CT Nursing Service Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
7643 CT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
20 York St, New Haven, CT 065103220 2036882366

Office Location

Street Address 100 GRAND ST
City NEW BRITAIN
State CT
Zip Code 06052

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174526784 Kathryn W Tierney Nurse Practitioner 100 Grand St, New Britain, CT 06052-2016 2005-05-27
1528674629 Alicja Jedrychowski Nurse Practitioner 100 Grand St, New Britain, CT 06052-2016 2020-09-23
1366050411 Casey Aivano Nurse Practitioner 100 Grand St, New Britain, CT 06052-2016 2020-07-15
1689297418 Amanda Catherine Ehresman Physician Assistant 100 Grand St, New Britain, CT 06052-2016 2020-05-27
1679194633 Zachary Russo Physician Assistant 100 Grand St, New Britain, CT 06052-2016 2020-04-30
1912526765 Cristina Melinda Decrosta Social Worker 100 Grand St, New Britain, CT 06052-2016 2020-04-13
1467071696 Natali R Senocak Student in an Organized Health Care Education/Training Program 100 Grand St, New Britain, CT 06052-2016 2020-04-08
1346879608 Najwan Augustin Student in an Organized Health Care Education/Training Program 100 Grand St, New Britain, CT 06052-2016 2020-04-07
1346879616 Christopher J Dipollina Student in an Organized Health Care Education/Training Program 100 Grand St, New Britain, CT 06052-2016 2020-04-07
1861021263 Rosanne M Zandvliet Student in an Organized Health Care Education/Training Program 100 Grand St, New Britain, CT 06052-2016 2020-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629604905 Lynn Fazzino Physical Therapist Cora, 136 West Main St, New Britain, CT 06052 2020-03-18
1265927826 Marie Susie Gustin Psychologist 365 Shuttle Meadow Ave, New Britain, CT 06052 2018-06-26
1942711718 Ashley R Stevens Nurse Practitioner 22 Cedar St., New Britain, CT 06052 2017-10-19
1740710417 Roxanne Guzze Pharmacy Technician 470 Hartford Road, New Britain, CT 06052 2017-06-15
1417483165 Liberty Integrated Behavioral Health, LLC Nurse Practitioner 18 Hart St., New Britain, CT 06052 2017-05-02
1518233022 Kristy Messier Counselor 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 2012-03-29
1629374178 Liberty Healthcare, LLC Nurse Practitioner 18 Hart St, New Britain, CT 06052 2011-02-01
1528207800 Colleen M Picone Social Worker 55 Winthrop Street, New Britain, CT 06052 2009-02-11
1902073166 Joseph Paladino Durable Medical Equipment & Medical Supplies 39 Brooklawn St, New Britain, CT 06052 2008-05-15
1861667768 Elizabeth Kartsen Audiologist 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 2008-04-23
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417584459 Valeria Renee St Laurent Nurse Practitioner 100 Grand St, New Britain, CT 06052-2016 2020-03-26
1588180319 Raymond Doyle Nurse Practitioner 100 Grand St, New Britain, CT 06052-2016 2017-08-14
1316483431 Jessica Grillo Nurse Practitioner 100 Grand St, New Britain, CT 06052-2016 2017-01-12
1588091193 James Robert Sullivan Nurse Practitioner 100 Grand St, New Britain, CT 06052-2016 2013-09-27
1336448935 Stacy Azeredo Pagliaruli Nurse Practitioner 100 Grand St, New Britain, CT 06052-2016 2011-03-22
1386877355 Jill Allison Stewart Nurse Practitioner 100 Grand St, New Britain, CT 06052-2016 2009-08-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760004469 Joseph A Sarkis Nurse Practitioner 34 Blackwells Lndg, Brooklyn, CT 06234-2444 2020-05-15
1720543960 Lia Sgambato Nurse Practitioner 263 Farmington Ave # 2875, Farmington, CT 06030-0001 2019-02-01
1588136295 Tao Wang Nurse Practitioner 38 Michele Dr, Portland, CT 06480-1013 2018-12-19
1114417847 Jennifer Lynn Trocola Nurse Practitioner 63 Myano Ln Apt 6, Stamford, CT 06902-4500 2018-05-17
1386178093 Janine Brooks Nurse Practitioner 47 Elmridge Rd, Pawcatuck, CT 06379-1234 2017-04-19
1639622962 Joshua N Alderman Nurse Practitioner 353 Main St Ste 2, Manchester, CT 06040-4145 2016-08-03
1508224437 Sheldon Leigh Stock Nurse Practitioner 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002-3077 2016-02-06
1548636673 Cheryl Pappas Nurse Practitioner 111 Salem Tpke Ste 8, Norwich, CT 06360-7403 2015-08-12
1265780894 Annetta Ruth Troche Nurse Practitioner 22 Parkwood Drive, Windsor, CT 06095 2012-08-29
1609122787 Jaimme Lee Franson Nurse Practitioner 324 Elm St Suite 202b, Monroe, CT 06468 2012-07-26
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Competitor

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City NEW BRITAIN
Zip Code 06052

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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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