Bakanauskas, Audrey
Bakanauskas, Audrey is an individual health care provider with primary practice located at 114 Woodland St Cardiology, Hartford CT 06105-1208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bakanauskas, Audrey can be contacted via phone (860) 714-4161.Contact Information
Primary practice address
114 Woodland St Cardiology
Hartford CT 06105-1208
Phone: (860) 714-4161
Fax: (860) 714-8001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 001638 | Connecticut |
Profile Details
| NPI number | 1023010634 |
|---|---|
| LBN Legal business name | Bakanauskas, Audrey |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Feb 17th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023010634 | NPPES |
| Connecticut | MEDICAID | 004197639 |
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