Organization Name: | DAY KIMBALL HOSPITAL OF WINDHAM COUNTY |
NPI Number: | 1053695452 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE M DROUIN (CFO) |
Mailing Address: | 320 Pomfret St Putnam |
State: | CT US |
Postal Code: | 062601836 |
Phone Number: | 8609286541 |
Fax Number: | 8609636450 |
NPI Enumeration Date: | 10/04/2011 |
NPI Last Update Date: | 12/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |