Individual
REBEKAH C MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 PARK ST, NEW HAVEN, CT 06511-5474
(203) 200-2486
Mailing address
55 PARK ST, NEW HAVEN, CT 06511-5474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10.201037
CT
163W00000X
Registered Nurse
RN63513
RI
363LF0000X
Family Nurse Practitioner
Primary
12.012340
CT
363LF0000X
Family Nurse Practitioner
APRN03911
RI
Other
Enumeration date
02/07/2022
Last updated
03/31/2026
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