Individual
MR. EDIN MEMISEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6411
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
6411
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004217099
—
CT
05
—
008056033
—
CT
05
—
008056168
—
CT
01
—
008063396
MEMISEVICH MEDICAID
CT
Enumeration date
12/15/2015
Last updated
01/09/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up