Richard V Panetta, APRN
Nurse Practitioner, Gerontology in Shelton, CT. Individual provider (NPI-1).
NPI number1104829720
StatusActive
Last updated in NPPESJun 1, 2015
Details
- NPI
- 1104829720
- Entity type
- Individual (NPI-1)
- Name
- Richard V Panetta
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2005
- Last updated
- Jun 1, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 002011 | CT | Yes |
| 363L00000X | Nurse Practitioner | 002011 | CT |
Practice location
NP Resources, LLC.Six Coprporate Drive, Suite 420
Shelton, CT 06484
Phone 203-925-9600 · Fax 203-926-0594
Mailing address
95 Marney DrMiddlebury, CT 06762-2024
Phone 203-758-8350
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Gerontology Nurse Practitioner providers in Shelton, CT
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