Provider Demographics
NPI:1336152016
Name:MCKEGNEY, CLARE CARDO (DNP-APRN)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:CARDO
Last Name:MCKEGNEY
Suffix:
Gender:F
Credentials:DNP-APRN
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:
Other - Last Name:CARDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:761 MAIN AVE
Mailing Address - Street 2:SUITE 112 THE CENTER FOR ADVANCED PEDIATRICS P.C.
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851
Mailing Address - Country:US
Mailing Address - Phone:203-229-2000
Mailing Address - Fax:203-840-9001
Practice Address - Street 1:761 MAIN AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851
Practice Address - Country:US
Practice Address - Phone:203-229-2000
Practice Address - Fax:203-840-9001
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002872208000000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics