Congdon, Diana

Congdon, Diana is an sole proprietor health care provider with primary practice located at 1844 Whitney Ave Ste 2 , Hamden CT 06517. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Congdon, Diana can be contacted via phone (203) 407-1310.

Contact Information

Primary practice address
1844 Whitney Ave Ste 2 Hamden CT 06517
Phone: (203) 407-1310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1495 Connecticut

Profile Details

NPI number 1407947179
LBN Legal business name Congdon, Diana
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jan 9th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407947179 NPPES
Connecticut MEDICAID 4008405

Popular Providers