Diane Connell
Individual provider Active NPI Case Manager/Care Coordinator · Middletown, CT
NPI 1417258385 · NPPES record last updated Nov 9, 2010
Key facts
- NPI
- 1417258385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 955 S Main St
Middletown, CT 06457-5153 - Phone
- (860) 343-5500
- NPI assigned
- Nov 9, 2010
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
955 S Main St
Middletown, CT 06457-5153
Mailing address
955 S Main St
Middletown, CT 06457-5153
Phone (860) 343-5500
Other names
- Diane Phaneuf
Other providers in Middletown, CT
- Connecticut Neurosurgery, PC
- Connecticut Oncology Group, PC
- Connecticut Pathology Group PC
- Connecticut Spine & Sports Medicine
- Connecticut Valley Counseling LLC
- Megan Connelly
- Kenneth Connolly
- Laura Connors
- Arlene Viswassee Conte
- Heather Conte
All providers in Middletown, CT · Case Manager/Care Coordinator in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2010. 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.