Cleaveland, Karen

Cleaveland, Karen is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-2948. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Cleaveland, Karen can be contacted via phone (860) 679-3105.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-2948
Phone: (860) 679-3105
Fax: (860) 679-1403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002047 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 2047 Connecticut

Profile Details

NPI number 1184895401
LBN Legal business name Cleaveland, Karen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Apr 5th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184895401 NPPES
Connecticut Other 002047 CT LICENSE
Connecticut MEDICAID 1184895401 CT LICENSE

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