Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 7956638-4405 | UT |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 8836 | CT |
N | 363LW0102X | Nurse Practitioner - Women's Health | 7956638-4405 | UT |
NPI | 1033490461 |
---|---|
Provider Name | Mrs. Kathleen O'connor Frame |
First Address | New Haven, CT 06519-1304 |
Second Address | New Haven, CT 06519-1304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2011 |
Last Update Date | 21/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
363LA2200X | (05) | CT |