Lindsay Bosquet, LPN

Individual provider Active NPI Licensed Practical Nurse · Stamford, CT

NPI 1013302702 · NPPES record last updated Mar 31, 2015

Key facts

NPI
1013302702
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
319904 (NY)
Practice address
21 Relay PL # 2
Stamford, CT 06901-2821
Phone
(203) 952-3596
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
Yes

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
319904NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 319904 NY Yes

Addresses

Primary practice location

21 Relay PL # 2
Stamford, CT 06901-2821

Mailing address

21 Relay PL # 2
Stamford, CT 06901-2821
Phone (203) 952-3596

Other identifiers

IdentifierTypeStateIssuer
319904MedicaidNY

Other providers in Stamford, CT

All providers in Stamford, CT · Licensed Practical Nurse in Connecticut

Sources for this page

Verify at the official NPI Registry.