Baranik, Mary Ellen
Baranik, Mary Ellen is an individual health care provider with primary practice located at 31 Seymour St Fl 2 , Hartford CT 06106-5521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baranik, Mary Ellen can be contacted via phone (860) 972-0475.Contact Information
Primary practice address
31 Seymour St Fl 2
Hartford CT 06106-5521
Phone: (860) 972-0475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 47075 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7462 | Connecticut |
Profile Details
| NPI number | 1275670523 |
|---|---|
| LBN Legal business name | Baranik, Mary Ellen |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | May 5th, 2023 - about 2 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 | 1275670523 | NPPES |
| West Virginia | MEDICAID | 7101133000 | |
| West Virginia | MEDICAID | 2351600 | |
| West Virginia | Other | 000597734 |
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