STEPHANIE FASSU NOULAHEU (NPI# 1578818498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578818498 |
| Entity Type | Individual |
| Full Name | STEPHANIE FASSU NOULAHEU |
| Credential | APRN |
| Practice Address |
1 Shaws Cv New London CT 06320-4902 |
| Mailing Address |
575 Main St Fl 2 Attn: Credentialing Dpt Middletown CT 06457-2845 |
| Practice Telephone | 8604478304 |
| Mailing Telephone | 8603476971 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 107156 | CT | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 774686 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
005102 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004236346 | 05 |
| Street Address |
1 SHAWS CV |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367698 | Romana Primus | Allergy & Immunology | 1 Shaws Cv, New London, CT 06320-4902 | 2005-06-23 |
| 1033731195 | Melissa Hauser | Nurse Practitioner | 1 Shaws Cv, New London, CT 06320-4902 | 2020-05-12 |
| 1154972982 | Alyssa Marie Guarino | Dental Hygienist | 1 Shaws Cv, New London, CT 06320-4902 | 2019-09-23 |
| 1124671961 | Samuel Benedict Maynard | Registered Nurse | 1 Shaws Cv, New London, CT 06320-4902 | 2019-07-22 |
| 1154973030 | Madeline Howe | Registered Nurse | 1 Shaws Cv, New London, CT 06320-4902 | 2019-07-11 |
| 1912436361 | Jodi Anderson | Marriage & Family Therapist | 1 Shaws Cv, New London, CT 06320-4902 | 2017-06-08 |
| 1043761794 | Stephanie Howells | Dental Hygienist | 1 Shaws Cv, New London, CT 06320-4902 | 2016-10-18 |
| 1316348519 | Natalie Guarin | Nurse Practitioner | 1 Shaws Cv, New London, CT 06320-4902 | 2014-09-08 |
| 1477987535 | Diana Paris | Nurse Practitioner | 1 Shaws Cv, New London, CT 06320-4902 | 2013-08-26 |
| 1588952998 | Mei Dong | Dentist | 1 Shaws Cv, New London, CT 06320-4902 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 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 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1346694353 | Peter Woods | Nurse Practitioner | 270 Montauk Ave, New London, CT 06320-4712 | 2016-04-15 |
| 1326351032 | Kimberly A Kurey | Nurse Practitioner | 400 Bayonet St Ste 206, New London, CT 06320-2633 | 2010-07-22 |
| 1366634776 | Life Long Care of New London Pllc | Nurse Practitioner | 276 Newport Rd Ste 107, New London, NH 03257-5468 | 2007-08-10 |
| 1992748784 | Betsy Gaffney | Nurse Practitioner | 255 Hempstead St, New London, CT 06320-6204 | 2006-06-13 |
| 1295706554 | Shirley A Mendes | Nurse Practitioner | 270 Mohegan Avenue, Warnshuis Building, New London, CT 06320-4125 | 2006-01-26 |
| 1588643019 | Kathleen M Kidder | Nurse Practitioner | 276 Newport Rd, The Gallery, Suite 107, New London, NH 03257-5468 | 2006-01-12 |
| 1588651244 | Rhonda S Niemi Judge | Nurse Practitioner | 1370 N Shawano St, Ste A, New London, WI 54961-7944 | 2005-09-28 |
| 1124581681 | Fnp Medical Services LLC | Nurse Practitioner | 400 Bayonet St Ste 206, New London, CT 06320-2633 | 2019-04-11 |
| 1457835357 | Natasha Singer | Nurse Practitioner | 37 Beech Dr, New London, CT 06320-3003 | 2018-09-18 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on STEPHANIE FASSU NOULAHEU.
| 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.