NPI 1033481502

Katie Lynn Merithew, PAC

Practitioner Physician Assistant Bridgeport, CT

Practice location

Address: 267 Grant St, Bridgeport, CT 06610-2805
Phone: (203) 384-3199
Mailing address: 267 Grant St STE B, Bridgeport, CT 06610-2805

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 003161 (CT)

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Registry record

NPI: 1033481502
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2012
Record last updated: 8 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.