NPI 1225545874 · live from the CMS NPI Registry
Karen Ann Alicea
Nurse Practitioner, Primary Care in Bridgeport, CT. National Provider Identifier 1225545874, active.
NPI record
| NPI | 1225545874 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 267 Grant St, Bridgeport, CT 06610 |
| Practice phone | 203-384-3000 |
| Mailing address | 74 Doris Dr, Monroe, CT 06468 |
| Enumerated | January 4, 2018 |
| Last updated | January 4, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care primary | 363LP2300X | 7355 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.