Laura Namata Ekatan
Individual provider Active NPI Registered Nurse · Stafford Springs, CT
NPI 1306495098 · NPPES record last updated Sep 5, 2019
Key facts
- NPI
- 1306495098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN2320322 (MA)
- Practice address
- 10 Edgewood St Apt 1
Stafford Springs, CT 06076-2122 - Phone
- (978) 223-0812
- NPI assigned
- Sep 5, 2019
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2320322 | MA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2320322 | MA | Yes |
Addresses
Primary practice location
10 Edgewood St Apt 1
Stafford Springs, CT 06076-2122
Mailing address
10 Edgewood St Apt 1
Stafford Springs, CT 06076-2122
Phone (978) 223-0812
Other providers in Stafford Springs, CT
- Victor Eanniello II
- Echn Johnson Evergreen Corporation
- Echn Johnson Memorial Hospital, Inc.
- Echn Johnson Memorial Hospital, Inc.
- Deborah Eddinger
- Carlos Alberto Enciso Chaves
- Brendan Evans
- Evergreen Acquisition Operator, LLC
- Lisa Fargnoli
- Cynthia L Ferree
All providers in Stafford Springs, CT · Registered Nurse in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.