MANDY DEMERCHANT


Address: 55 Park St, New Haven, CT 06511-5474
Phone: 2032003379

MANDY DEMERCHANT (NPI# 1366994956) 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) 1366994956
Entity Type Individual
Full Name MANDY DEMERCHANT
Credential DNP, APRN
Practice Address 55 Park St
New Haven
CT 06511-5474
Practice Telephone 2032003379
Practice Fax Number 2032003390
Mailing Telephone 2032002486
Mailing Fax Number 2032003389
Enumeration Date 2016-10-29
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
APRN01475 RI Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
6991 CT Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
APRN01475 RI Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
APRN01475 RI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
333 Budlong Rd, Cranston, RI 029206337 4019434530

Office Location

Street Address 55 PARK ST
City NEW HAVEN
State CT
Zip Code 06511-5474

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124626973 Monica Fahmy Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-10-14
1760080675 Jonathan Worley Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-10-13
1619589280 Pegah Shakeraneh Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-08-17
1033720669 Megan Trombi Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-08-17
1720698244 Melissa Chinn Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-08-10
1639789951 Bobbi Jo Loflin Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-08-01
1639797566 Nicole Gonzalez Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-07-07
1497378590 Ahrang Yoo Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-05-22
1467083543 Saman Mirzaei Pharmacist 55 Park St, New Haven, CT 06511-5474 2020-01-28
1356985477 Michael Anthony Ruggero Pharmacist 55 Park St, New Haven, CT 06511-5474 2019-10-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330571 Allison Elizabeth Pratt Occupational Therapist 625 Whitney Ave, Apt 5, New Haeven, CT 06511 2020-09-11
1881213346 Sarah Bleicher Registered Nurse Yale Health, 55 Lock St, New Haven, CT 06511 2020-04-14
1083268395 Danielle Lee Mcpherson Pharmacist Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 2019-07-25
1528533866 Alexia Levin Social Worker 98/100 York St, New Haven, CT 06511 2018-10-12
1861970097 Orthocare Medical Equipment LLC Durable Medical Equipment & Medical Supplies 1450 Chapel St Ste Sg15, New Haven, CT 06511 2018-07-31
1609352418 Susannah Frew Social Worker 2 Eld Street, Apt 6, New Haven, CT 06511 2018-07-15
1851881965 Empowerment Counseling Services, LLC Counselor 427 Dixwell Ave, New Haven, CT 06511 2018-05-14
1487173951 Karine Giasson-gariepy Student in an Organized Health Care Education/Training Program Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 2017-09-15
1568980696 Anna Reutenauer Dentist 123 York St Ste 4l, New Haven, CT 06511 2017-09-08
1083134753 Darin Dolezal Student in an Organized Health Care Education/Training Program 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 2017-06-23
Find all providers in zip 06511

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306409222 Terance A Anderson Nurse Practitioner 20 York Street, Cb-2041, New Haven, CT 06510-3220 2019-04-16
1730667270 Michael Riley Levien Nurse Practitioner 874 Howard Ave, New Haven, CT 06519-1106 2018-08-06
1972098762 Hung Le Nurse Practitioner 20 York Street, Cb-2041, New Haven, CT 06510 2018-06-25
1295286110 Qian Zeng Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2016-10-14
1922463835 Thao T Nguyen Nurse Practitioner 874 Howard Ave, Basement - Room 007, New Haven, CT 06519-1106 2015-12-18
1982072591 Shannon P Kukulka Nurse Practitioner 874 Howard Ave, New Haven, CT 06519-1106 2015-09-14
1669853800 Jamie Stone Feingold Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2015-06-13
1134535859 Rachel M Pisani Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2014-07-02
1023223633 Innovative Health Concepts Nurse Practitioner 1201 Daly Dr, New Haven, IN 46774-1891 2007-05-14
1962471342 Zina I Crescenzi Nurse Practitioner 1450 Chapel Street, New Haven, CT 06511 2006-03-16
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06511

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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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