Individual
NANCY W BARANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
95 SCOVILL ST, 3RD FLOOR, WATERBURY, CT 06706-1113
(203) 709-6000
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1221
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
001083
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004226008
—
CT
01
—
214686
WELLCARE
CT
01
—
400001083CT01
ANTHEM BCBS CT
CT
01
—
873467
USA
CT
01
—
9327222
AETNA
CT
01
—
PENDING
RAILROAD MEDICARE
CT
05
—
S77065
—
CT
Enumeration date
06/25/2006
Last updated
07/14/2014
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