Individual provider · NPI-1

Karen Ann Alicea

Nurse Practitioner, Primary Care · Bridgeport, CT

NPI number1225545874
StatusActive
Last updated in NPPESJan 4, 2018

Details

NPI
1225545874
Entity type
Individual (NPI-1)
Name
Ms. Karen Ann Alicea
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2018
Last updated
Jan 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care7355CTYes

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Phone 203-384-3000

Mailing address

74 Doris Dr
Monroe, CT 06468-2109

Phone 203-913-1658

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 Nurse Practitioner, Primary Care providers in Bridgeport, CT