Provider Demographics
NPI:1578244844
Name:NIEVES, NAVADI (APRN)
Entity Type:Individual
Prefix:
First Name:NAVADI
Middle Name:
Last Name:NIEVES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NAVADI
Other - Middle Name:
Other - Last Name:MEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 OLD SHERMAN TPKE STE 202
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-4174
Mailing Address - Country:US
Mailing Address - Phone:203-798-7661
Mailing Address - Fax:
Practice Address - Street 1:107 NEWTOWN RD STE 1D
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-4151
Practice Address - Country:US
Practice Address - Phone:203-790-0822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily