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Individual

RUT NOEMI PAMPHILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1351 WHALLEY AVE, NEW HAVEN, CT 06515-1149
(203) 889-2676
Mailing address
2435 JEROME AVE, BRONX, NY 10468-6464
(718) 220-7677

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
350535
NY
363LF0000X
Family Nurse Practitioner
Primary
12384
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12384
CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
CT
01
350535
OFFICE OF PROFFESIONS - NEW YORK STATE
NY
Enumeration date
10/10/2022
Last updated
04/17/2025
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