Marydol Regalado Barbieto
Individual provider Active NPI Registered Nurse · Bridgeport, CT
NPI 1962967513 · NPPES record last updated Feb 7, 2019
Key facts
- NPI
- 1962967513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 10.064797 (CT)
- Practice address
- 310 Indian Ave
Bridgeport, CT 06606-3903 - Phone
- (203) 243-8530
- NPI assigned
- Feb 7, 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 |
|---|---|---|---|
| 10.064797 | CT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10.064797 | CT | Yes |
Addresses
Primary practice location
310 Indian Ave
Bridgeport, CT 06606-3903
Mailing address
310 Indian Ave
Bridgeport, CT 06606-3903
Phone (203) 243-8530
Other providers in Bridgeport, CT
- Itisha Bansal
- Raj Kumari Bansal
- Trishia Marie Barat
- Samantha Barbessi
- Sally J Barbieri
- Amuri Barbosa
- Elizabeth Barclay
- Tanya Barnaby
- Zachary Richard Barnes
- Barnum Ave Pharmacy LLC
All providers in Bridgeport, 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 Feb 7, 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.