Doctor Name: | MS. ANNE MADELEINE HYDE |
NPI Number: | 1023143815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, APRN, FNP-BC |
License Number: | 001884 |
Business Practice Address: | 6515 Main St Long Hill On The Green Suite 1 Trumbull, CT - 066111354 |
Business Phone Number: | 2035761737 |
Business Fax Number: | 2033343841 |
Mailing Address: | 6515 Main St, Long Hill On The Green Suite 1 TRUMBULL |
State: | CT |
Postal Code: | 066111354 |
Phone Number: | 2035761737 |
Fax Number: | 2033343841 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 001884 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |