MS. SUSAN MOLDE


Address: 40 Albert St, New Haven, CT 06511-1542
Phone: 2038650068

MS. SUSAN MOLDE (NPI# 1821122698) 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) 1821122698
Entity Type Individual
Full Name MS. SUSAN MOLDE
Credential APRN
Practice Address 40 Albert St
New Haven
CT 06511-1542
Mailing Address 394 Central Ave
New Haven
CT 06515-2250
Practice Telephone 2038650068
Practice Fax Number 2038650399
Mailing Telephone 2033891696
Enumeration Date 2007-03-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
001232 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 40 ALBERT ST
City NEW HAVEN
State CT
Zip Code 06511-1542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629053079 Leeway, Inc Skilled Nursing Facility 40 Albert St, New Haven, CT 06511-1542 2005-12-08

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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...

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1205086915 Christiane Brigitte Sabourin Nurse Practitioner 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 2008-09-30
1043495989 Michelle Bolles Vitale Nurse Practitioner 1 Howe St, New Haven, CT 06511-5473 2008-01-09
1154331015 Ami S Marshall Nurse Practitioner Yale Community Health Care Clinic, 270 Congress Ave, New Haven, CT 06519-1403 2006-08-09
1497393151 Teresa Huschart White Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2019-12-12
1336792225 Sadie Kathleen Hartell Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2019-07-19
1457830309 Shannon Maria Sweeney Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2018-08-11
1336650001 Christine Moore Nurse Practitioner 20 York Street, Cb-2041, New Haven, CT 06510 2017-10-20
1366994956 Mandy Demerchant Nurse Practitioner 55 Park St, New Haven, CT 06511-5474 2016-10-29
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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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