Individual
MRS. MERIDITH JOHNSON COWPERTHWAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
1 LONG WHARF DR, SUITE 105, NEW HAVEN, CT 06511-5991
(203) 865-3737
(203) 624-0751
Mailing address
1 LONG WHARF DR, SUITE 105, NEW HAVEN, CT 06511-5991
(203) 865-3737
(203) 624-0751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
068533
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
003009
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030300
CTCARE ID
—
01
—
329926
PREFERRED ONE
—
Enumeration date
01/19/2007
Last updated
04/25/2014
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