NPI 1821420134 · live from the CMS NPI Registry
Evelyne Irimies Deloughery, APRN
Nurse Practitioner, Pediatrics in South Windsor, CT. National Provider Identifier 1821420134, active.
NPI record
| NPI | 1821420134 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1665 Ellington Rd, South Windsor, CT 06074 |
| Practice phone | 860-648-2447 |
| Mailing address | 39 Buckland St, Apt 13331, Manchester, CT 06042 |
| Enumerated | August 9, 2013 |
| Last updated | December 15, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 005498 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.