Provider Demographics
NPI:1295479798
Name:NUVANCE HEALTH
Entity type:Organization
Organization Name:NUVANCE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY CARE APRN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:MAUREEN LENEHAN
Authorized Official - Last Name:BALINT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, APRN
Authorized Official - Phone:860-334-0549
Mailing Address - Street 1:5 PEACEFUL DR
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-3215
Mailing Address - Country:US
Mailing Address - Phone:860-334-0549
Mailing Address - Fax:
Practice Address - Street 1:170 MOUNT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1408
Practice Address - Country:US
Practice Address - Phone:203-426-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty