Stacey F Hauben, | |
267 Grant St, Bridgeport, CT 06610-2870 | |
(203) 384-3000 | |
Not Available |
Full Name | Stacey F Hauben |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 267 Grant St, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558934323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 111869 (Connecticut) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 10974 (Connecticut) | Primary |
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Mailing Address | Practice Location Address |
---|---|
Stacey F Hauben, 19 Rock Hill Rd, Woodbridge, CT 06525-1103 Ph: (203) 927-3362 | Stacey F Hauben, 267 Grant St, Bridgeport, CT 06610-2870 Ph: (203) 384-3000 |
Caitlin Van Ess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 860-576-5000 | |
Kevin Traille, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3174 | |
Cleofas Espinoza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Kelly Takacs, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 Main Street, Saint Vincents Medical Center, Bridgeport, CT 06606 Phone: 203-929-7353 Fax: 203-929-0756 | |
Tara Seiler, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 Main St, St Vincents Medical Center, Bridgeport, CT 06604 Phone: 203-929-7353 Fax: 203-929-0756 | |
Peter Jakubowski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St Vincents Medical Center, Bridgeport, CT 06606 Phone: 203-929-7353 Fax: 203-929-0756 | |
Mrs. Marla Jean Peterson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport Hospital, Bridgeport, CT 06610 Phone: 203-384-3801 Fax: 203-384-4619 |