Whalio Doctors

NPI 1982924908

Marva Quaccoo, LPN

Practitioner Licensed Vocational Nurse Bridgeport, CT

Practice location

Address
130 Broadbridge Rd, Bridgeport, CT 06610-1121
Phone
(203) 373-7559
Mailing address
130 Broadbridge Rd, Bridgeport, CT 06620

Registered specialties (2)

Licensed Vocational Nurse Primary
Nursing Service Providers Taxonomy 164X00000X Licence 234908 (NY)
Licensed Vocational Nurse
Nursing Service Providers Taxonomy 164X00000X Licence 234908 (CT)

Registry record

NPI
1982924908
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Jun 2010
Record last updated
2 Jun 2010

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.