Provider Demographics
NPI:1487040747
Name:CABELUS, NANCY (DP, MSN, RN, AFN-BC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:CABELUS
Suffix:
Gender:F
Credentials:DP, MSN, RN, AFN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 GLEN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3408
Mailing Address - Country:US
Mailing Address - Phone:860-218-0206
Mailing Address - Fax:
Practice Address - Street 1:1678 ASYLUM AVE. ROOM 317
Practice Address - Street 2:UNIVERSITY OF ST. JOSEPH
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06117
Practice Address - Country:US
Practice Address - Phone:860-218-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNS9251649163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health