Katherine M Perry
Nurse Practitioner - Community Health
374 Grand Ave Fair Haven Community Health Center
New Haven
, Connecticut 06513
Katherine M Perry
Nurse Practitioner - Community Health
374 Grand Ave Fair Haven Community Health Center
New Haven
, Connecticut 06513
(203) 397-3056
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Katherine M Perry
- 677 Forest Rd
- West Haven, CT
- Zip : 06516
- Phone : (203) 397-3056
Second Address
- Katherine M Perry
- 374 Grand Ave Fair Haven Community Health Center
- New Haven, CT
- Zip : 06513
- Fax : (203) 777-8506
- Phone : (203) 777-7411
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 002726 | CT |
National Provider Identifier
| NPI | 1174638704 |
|---|---|
| Provider Name | Katherine M Perry |
| First Address | West Haven, CT 06516 |
| Second Address | New Haven, CT 06513 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P70179 | (02) |
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.