Provider Demographics
NPI:1295001899
Name:OZMENT, ANDREA (RN, MSN)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:
Last Name:OZMENT
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:896 QUINNIPIAC AVE
Mailing Address - Street 2:7
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-3345
Mailing Address - Country:US
Mailing Address - Phone:203-823-9859
Mailing Address - Fax:
Practice Address - Street 1:896 QUINNIPIAC AVE
Practice Address - Street 2:7
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-3345
Practice Address - Country:US
Practice Address - Phone:203-823-9859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207261163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse