Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 003890 | CT |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 003890 | CT |
NPI | 1578716601 |
---|---|
Provider Name | Maria E. Cale |
First Address | Middletown, CT 06457-3654 |
Second Address | Middletown, CT 06457-3654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2008 |
Last Update Date | 22/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003890 | LICENSE (01) | CT |