NPI 1063496214 · live from the CMS NPI Registry
Judith Lion Carbonella, APRN
Nurse Practitioner, Pediatrics in New Haven, CT. National Provider Identifier 1063496214, active.
NPI record
| NPI | 1063496214 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519 |
| Practice phone | 203-785-4081 |
| Mailing address | 20 York St, Ynhh Childrens West Pavilion 2nd Floor, New Haven, CT 06536 |
| Enumerated | December 1, 2005 |
| Last updated | June 25, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 000505 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.