National Provider Identifier Database

KARA MOONAN, APRN – NPI #1982915666
Pediatrics


Contact Information

KARA MOONAN, APRN
968 FAIRFIELD AVE
BRIDGEPORT, CT06605-1116
Phone: 203-330-6000
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X
Pediatrics 163WP0200X

* Indicates primary specialty

NPI Profile & details for KARA MOONAN

NPI Number 1982915666
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 06/28/2010
Last updated 05/12/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 088288
  • CT Medicaid: 004236130
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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