STEPHANIE MALIA (NPI# 1942584636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942584636 |
| Entity Type | Individual |
| Full Name | STEPHANIE MALIA |
| Credential | APRN |
| Practice Address |
12 Case St Suite 213 Norwich CT 06360-2222 |
| Practice Telephone | 8608895211 |
| Mailing Telephone | 8608895211 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2014-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
004778 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
004778 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12 CASE ST SUITE 213 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598649 | Mahesh Narayan Kabadi | Internal Medicine | 12 Case St, Ste 102, Norwich, CT 06360-2222 | 2005-06-16 |
| 1831564160 | Amy Masse | Clinical Neuropsychologist | 12 Case St, Suite 301, Norwich, CT 06360-2222 | 2015-12-12 |
| 1790199784 | Ct Psychological Associates | Clinical Neuropsychologist | 12 Case St, Suite 301, Norwich, CT 06360-2222 | 2014-06-17 |
| 1942578778 | Eastern Connecticut Psychological Associates, LLC | Clinic/Center | 12 Case St, Suite 202, Norwich, CT 06360-2222 | 2011-12-07 |
| 1609173160 | Advanced Community Support, LLC | Home Health | 12 Case St, Suite 206, Norwich, CT 06360-2222 | 2011-02-18 |
| 1558664839 | Rita Cecile Ammons | Massage Therapist | 12 Case St, Suite 306, Norwich, CT 06360-2222 | 2010-12-08 |
| 1730333998 | Deborah M. Zlatin | Social Worker | 12 Case St, Suite 301, Norwich, CT 06360-2222 | 2008-11-13 |
| 1174782767 | Backus Physician Services, LLC | Colon & Rectal Surgery | 12 Case St, Suite 313, Norwich, CT 06360-2222 | 2008-06-09 |
| 1942467352 | Christy Ann Stanat | Surgery | 12 Case St, Norwich, CT 06360-2222 | 2008-05-22 |
| 1659584290 | Recovery Resources, LLC | Home Health | 12 Case St, Suite 205, Norwich, CT 06360-2222 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346323 | Irene D Gumboc | Nurse Practitioner | 99 Starr St, Norwich, CT 06360-4025 | 2018-05-16 |
| 1770891186 | Sue Ellen Button | Nurse Practitioner | 179 North Broad Street, Chenango Memorial Hospital, Norwich, NY 13815-1019 | 2010-09-20 |
| 1558986174 | Ryan Mansi | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2020-06-09 |
| 1679108534 | Alma Barreto Aprn LLC | Nurse Practitioner | 12 Case St Ste 202, Norwich, CT 06360-2222 | 2020-03-10 |
| 1689155004 | Laura Saskal | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2018-08-23 |
| 1194234005 | Kristen Kay Menard | Nurse Practitioner | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-22 |
| 1487173431 | Alaina Lyn Kindelan | Nurse Practitioner | 326 Washington St, Norwich, CT 06360 | 2017-09-11 |
| 1407255375 | Patricia Varma | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-17 |
| 1649679697 | Jade Paradis | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-15 |
| 1134553704 | Laura Rydelek Fitzgerald | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2013-08-30 |
| Find all providers in NORWICH | ||||
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| 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.