Paula Yvonne Moses-Clouden
Individual provider Active NPI Contractor · Bloomfield, CT
NPI 1669628152 · NPPES record last updated Aug 15, 2008
Key facts
- NPI
- 1669628152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 43 Harding Ave
Bloomfield, CT 06002-3804 - Phone
- (860) 243-5908
- NPI assigned
- Aug 15, 2008
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
43 Harding Ave
Bloomfield, CT 06002-3804
Mailing address
43 Harding Ave
Bloomfield, CT 06002-3804
Phone (860) 243-5908
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2008. 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.