Wellformed AI

NPI 1174676571 · live from the CMS NPI Registry

Meridith Johnson Cowperthwait, A.P.R.N.

Nurse Practitioner, Pediatrics in New Haven, CT. National Provider Identifier 1174676571, active.

NPI record

NPI1174676571 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1 Long Wharf Dr, Suite 105, New Haven, CT 06511
Practice phone203-865-3737
EnumeratedJanuary 19, 2007
Last updatedApril 25, 2014
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse163W00000X068533 (CT)
Nurse Practitioner, Pediatrics primary363LP0200X003009 (CT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.