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Contact Information

KARA MOONAN, APRN
968 FAIRFIELD AVE
BRIDGEPORT, CT06605-1116
 Phone: 203-330-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for KARA MOONAN · (Female)

NPI # 1982915666
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 06/28/2010
Last updated 05/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 088288
  • CT Medicaid 004236130
Hospital affiliation(s) Not Available
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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