Pagnozzi, Mary Ellen

Pagnozzi, Mary Ellen is an individual health care provider with primary practice located at 3 Heron Rd , Mystic CT 06355-3253. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Pagnozzi, Mary Ellen can be contacted via phone (860) 536-6442.

Contact Information

Primary practice address
3 Heron Rd Mystic CT 06355-3253
Phone: (860) 536-6442
Fax: (860) 536-6442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 001588 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 001588 Connecticut

Profile Details

NPI number 1114943214
LBN Legal business name Pagnozzi, Mary Ellen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 16th, 2015 - about 9 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 1114943214 NPPES
Connecticut MEDICAID 004203329

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