Revere, Madeline Francis
Revere, Madeline Francis is an individual health care provider with primary practice located at 64 Robbins St Crisis Intervention Center, Waterbury CT 06708-2613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Revere, Madeline Francis can be contacted via phone (203) 573-6798.Contact Information
Primary practice address
64 Robbins St Crisis Intervention Center
Waterbury CT 06708-2613
Phone: (203) 573-6798
Fax: (203) 573-7007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 000241 | Connecticut |
Profile Details
| NPI number | 1659353118 |
|---|---|
| LBN Legal business name | Revere, Madeline Francis |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Apr 8th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659353118 | NPPES |
| Connecticut | Other | 890000386 | MEDICARE ID- TYPE UNSPECIFIED |
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