Fennessey, Avalon Dibner

Fennessey, Avalon Dibner is an individual health care provider with primary practice located at 120 Connecticut Ave , Norwalk CT 06854-1525. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Fennessey, Avalon Dibner can be contacted via phone (203) 899-1770.

Contact Information

Primary practice address
120 Connecticut Ave Norwalk CT 06854-1525
Phone: (203) 899-1770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 113331 Connecticut
Nursing Service Providers / Registered Nurse 163W00000X L1-0042593 Delaware
Nursing Service Providers / Registered Nurse 163W00000X RN61411 Maine
Nursing Service Providers / Registered Nurse 163W00000X RN634654 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5598 Connecticut

Profile Details

NPI number 1487083978
LBN Legal business name Fennessey, Avalon Dibner
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2013
Last updated Sep 30th, 2014 - about 10 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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