Ellen Marie Buffington, RN

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Mansfield Center, CT

NPI 1992937056 · NPPES record last updated Aug 21, 2009

Key facts

NPI
1992937056
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
R34085 (CT)
Practice address
189 Storrs Road
Mansfield Center, CT 06250-0260
Phone
(860) 456-1311
Fax
(860) 450-0165
NPI assigned
Aug 21, 2009
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R34085CTMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X R34085 CT Yes

Addresses

Primary practice location

189 Storrs Road
Mansfield Center, CT 06250-0260

Mailing address

52 Packer Rd
P.O. Box 66
Canterbury, CT 06331-1928
Phone (860) 456-1311

Other providers in Mansfield Center, CT

All providers in Mansfield Center, CT · Psychiatric/Mental Health Registered Nurse in Connecticut

Sources for this page

Verify at the official NPI Registry.