Karen Cleaveland
Nurse Practitioner - Neonatal Nurse Practitioner - Family Medicine
263 Farmington Ave
Farmington
, Connecticut 06030-2948
Karen Cleaveland
Nurse Practitioner - Neonatal Nurse Practitioner - Family Medicine
263 Farmington Ave
Farmington
, Connecticut 06030-2948
(860) 523-3701
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Karen Cleaveland
- 65 Kane St Provider Enrollment
- West Hartford, CT
- Zip : 06119-2110
- Fax : (860) 523-3701
- Phone : (860) 523-6421
Second Address
- Karen Cleaveland
- 263 Farmington Ave
- Farmington, CT
- Zip : 06030-2948
- Fax : (860) 679-1403
- Phone : (860) 679-3105
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 002047 | CT |
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 2047 | CT |
National Provider Identifier
| NPI | 1184895401 |
|---|---|
| Provider Name | Karen Cleaveland |
| First Address | West Hartford, CT 06119-2110 |
| Second Address | Farmington, CT 06030-2948 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2008 |
| Last Update Date | 05/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002047 | CT LICENSE (01) | CT |
| 1184895401 | (05) | CT |
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.