Mckinnell, Elizabeth Jeanne

Mckinnell, Elizabeth Jeanne is an individual health care provider with primary practice located at 162 Washington Ave , North Haven CT 06473-1711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mckinnell, Elizabeth Jeanne can be contacted via phone (203) 239-4071.

Contact Information

Primary practice address
162 Washington Ave North Haven CT 06473-1711
Phone: (203) 239-4071
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X E34419 Connecticut

Profile Details

NPI number 1407875602
LBN Legal business name Mckinnell, Elizabeth Jeanne
Credentials APRN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 2nd, 2016 - about 8 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 1407875602 NPPES
Connecticut MEDICAID 004236007

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