Asena Derohannesian
Nurse Practitioner - Pediatrics
425 Thorme St
Bridgeport
, Connecticut 06606-3418
Asena Derohannesian
Nurse Practitioner - Pediatrics
425 Thorme St
Bridgeport
, Connecticut 06606-3418
(203) 330-6000
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Asena Derohannesian
- 46 Albion St
- Bridgeport, CT
- Zip : 06605-2602
- Phone : (203) 330-6000
Second Address
- Asena Derohannesian
- 425 Thorme St
- Bridgeport, CT
- Zip : 06606-3418
- Fax : (203) 275-0198
- Phone : (203) 275-4115
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 6410 | CT |
National Provider Identifier
| NPI | 1043685308 |
|---|---|
| Provider Name | Asena Derohannesian |
| First Address | Bridgeport, CT 06605-2602 |
| Second Address | Bridgeport, CT 06606-3418 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2015 |
| Last Update Date | 17/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.