Provider Demographics
NPI:1255342382
Name:BARGIELSKI, BRENDA JAIME (CRNA)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:JAIME
Last Name:BARGIELSKI
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:2 TRAP FALLS RD
Mailing Address - Street 2:STE 414
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-7621
Mailing Address - Country:US
Mailing Address - Phone:203-929-7353
Mailing Address - Fax:203-929-0756
Practice Address - Street 1:80 SEYMOUR ST # JB333
Practice Address - Street 2:HARTFORD ANESTHESIOLOGY ASSOCIATES INC
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-3315
Practice Address - Country:US
Practice Address - Phone:860-545-2117
Practice Address - Fax:860-545-1784
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2018-10-31
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Provider Licenses
StateLicense IDTaxonomies
CT002468367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
430000766Medicare ID - Type Unspecified