Provider Demographics
NPI:1215822689
Name:EGAS-ALARCON, CARMEN PATRICIA
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:PATRICIA
Last Name:EGAS-ALARCON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-6813
Mailing Address - Country:US
Mailing Address - Phone:203-954-5050
Mailing Address - Fax:
Practice Address - Street 1:31 HOWARD ST
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-6813
Practice Address - Country:US
Practice Address - Phone:203-954-5050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11.0451004164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty