Individual
KIMBERELY SUE CASAGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.-FNP
Contact information
Practice address
171 GRANDVIEW AVE, SUITE 201, WATERBURY, CT 06708-2517
(203) 578-4630
(203) 578-4629
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003065
CT
363LP2300X
Primary Care Nurse Practitioner
003065
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004257459
—
CT
01
—
030650
CONNETICARE
CT
01
—
2V6388
HEALTHNET
CT
01
—
400003065CT03
ANTHEM
CT
01
—
400003065CT05
ANTHEM
CT
01
—
P00277966
RAILROAD MEDICARE
CT
01
—
P3387910
OXFORD
CT
Enumeration date
09/25/2006
Last updated
11/17/2017
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