Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | 000010 | CT |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 10 | CT |
NPI | 1902900053 |
---|---|
Provider Name | Clarice Begemann |
First Address | New Haven, CT 06513-3733 |
Second Address | New Haven, CT 06513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2006 |
Last Update Date | 27/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004185064 | (05) | CT |
100010 | CT CARE (01) | |
183874 | PREFERRED ONE (01) | |
P3588922 | OXFORD (01) |