Provider Demographics
NPI:1063030286
Name:ZNAMIEROWSKI, ELIZABETH M (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:ZNAMIEROWSKI
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 OSBORNE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06855-1826
Mailing Address - Country:US
Mailing Address - Phone:802-922-6371
Mailing Address - Fax:
Practice Address - Street 1:270 CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1403
Practice Address - Country:US
Practice Address - Phone:203-584-7387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT154865163W00000X
CT12.009184363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse