Urban, Andrea Dann

Urban, Andrea Dann is an individual health care provider with primary practice located at 2 Church St S Suite 404, New Haven CT 06519-1717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Urban, Andrea Dann can be contacted via phone (203) 764-6745.

Contact Information

Primary practice address
2 Church St S Suite 404 New Haven CT 06519-1717
Phone: (203) 764-6745
Fax: (203) 764-6748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 002448 Connecticut

Profile Details

NPI number 1477538684
LBN Legal business name Urban, Andrea Dann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Apr 7th, 2011 - about 15 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 1477538684 NPPES
Connecticut MEDICAID 004244307

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