Ravenscroft, Anne

Ravenscroft, Anne is an individual health care provider with primary practice located at 75 Granite St , New London CT 06320-5730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ravenscroft, Anne can be contacted via phone (860) 437-4555.

Contact Information

Primary practice address
75 Granite St New London CT 06320-5730
Phone: (860) 437-4555
Fax: (860) 437-4552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 003929 Connecticut

Profile Details

NPI number 1457467177
LBN Legal business name Ravenscroft, Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 23rd, 2012 - about 13 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 1457467177 NPPES
Connecticut MEDICAID 008015372

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