Provider Demographics
NPI:1922276708
Name:OKONIEWSKI, ANASTASIA (APRN)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:OKONIEWSKI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF CT HEALTH CENTER
Mailing Address - Street 2:263 FARMINGTON AVENUE MC2103
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-0001
Mailing Address - Country:US
Mailing Address - Phone:860-679-2084
Mailing Address - Fax:860-679-4077
Practice Address - Street 1:UNIVERSITY OF CT HEALTH CENTER
Practice Address - Street 2:263 FARMINGTON AVENUE MC2103
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-0001
Practice Address - Country:US
Practice Address - Phone:860-679-2084
Practice Address - Fax:860-679-4077
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003705363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health