Linda A Brogan, APRN,CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Wallingford, CT
NPI 1871769554 · NPPES record last updated May 2, 2008
Key facts
- NPI
- 1871769554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 000156 (CT)
- Practice address
- 544 Pilgrims HBR
Wallingford, CT 06492-5448 - Phone
- (203) 641-5428
- NPI assigned
- May 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000156 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 000156 | CT | Yes |
Addresses
Primary practice location
544 Pilgrims HBR
Wallingford, CT 06492-5448
Mailing address
544 Pilgrims HBR
Wallingford, CT 06492-5448
Phone (203) 269-6334
Other providers in Wallingford, CT
- Kelley Breyer
- Bridge Center for Healing
- Kelly S Bristol
- Broad Street Dental
- Derrick Brockamer
- Austin Bronson
- Brook Hollow Health Care Center LLC
- Vanessa Browne
- Ashley White Brzezinski
- Patricia Kersulis Buckley
All providers in Wallingford, CT · Certified Registered Nurse Anesthetist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 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.