Celina Bazaar

Individual provider Active NPI Registered Nurse · Cheshire, CT

NPI 1003779745 · NPPES record last updated Dec 9, 2025

Key facts

NPI
1003779745
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
63807 (CT)
Practice address
865 Cornwall Ave
Cheshire, CT 06410-2617
Phone
(203) 494-4324
NPI assigned
Dec 9, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
63807CTMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 63807 CT Yes

Addresses

Primary practice location

865 Cornwall Ave
Cheshire, CT 06410-2617

Mailing address

865 Cornwall Ave
Cheshire, CT 06410-2617
Phone (203) 494-4324

Other providers in Cheshire, CT

All providers in Cheshire, CT · Registered Nurse in Connecticut

Sources for this page

Verify at the official NPI Registry.