Individual
CLARICE BEGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
374 GRAND AVENUE, FAIR HAVEN COMMUNITY HEALTH CTR, NEW HAVEN, CT 06513
(203) 777-7411
(203) 777-8506
Mailing address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
(203) 777-8506
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
000010
CT
363LF0000X
Family Nurse Practitioner
Primary
10
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004185064
—
CT
01
—
100010
CT CARE
—
01
—
183874
PREFERRED ONE
—
01
—
P3588922
OXFORD
—
Enumeration date
09/11/2006
Last updated
09/27/2018
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