Provider Demographics
NPI:1093749160
Name:MESSNER, JOAN M (CNM)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:M
Last Name:MESSNER
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:46 PRINCE ST
Mailing Address - Street 2:#207
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1600
Mailing Address - Country:US
Mailing Address - Phone:203-787-2264
Mailing Address - Fax:203-787-5667
Practice Address - Street 1:46 PRINCE ST
Practice Address - Street 2:#207
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1600
Practice Address - Country:US
Practice Address - Phone:203-787-2264
Practice Address - Fax:203-787-5667
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-02-02
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Provider Licenses
StateLicense IDTaxonomies
CT000196367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP3204354OtherOXFORD
CT400000196C701OtherBC
CTP3204354OtherOXFORD
O11940Medicare UPIN