Individual
MS. JUDITH ANN DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
300 BOSTON POST RD, ATTN: HEALTH SERVICES, WEST HAVEN, CT 06516-1916
(203) 932-7079
(203) 931-6090
Mailing address
300 BOSTON POST RD, ATTN: HEALTH SERVICES, WEST HAVEN, CT 06516-1916
(203) 932-7079
(203) 931-6090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002853
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004251857
—
CT
01
—
020853
CONNECTICARE
CT
01
—
223514271
UNITED HEALTHCARE
CT
01
—
2V4674
HEALTHNET
CT
01
—
400002853CT01
BLUE CROSS BLUE SHIELD
CT
01
—
A752119
OXFORD
CT
Enumeration date
06/08/2006
Last updated
08/21/2015
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