Moonan, Kara

Moonan, Kara is an individual health care provider with primary practice located at 968 Fairfield Ave , Bridgeport CT 06605-1116. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Moonan, Kara can be contacted via phone (203) 330-6000.

Contact Information

Primary practice address
968 Fairfield Ave Bridgeport CT 06605-1116
Phone: (203) 330-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 088288 Connecticut
Nursing Service Providers / Pediatrics 163WP0200X 088288 Connecticut

Profile Details

NPI number 1982915666
LBN Legal business name Moonan, Kara
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated May 12th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982915666 NPPES
Connecticut MEDICAID 004236130

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