Provider Demographics
NPI:1720089055
Name:BATTIN, CAROL M (APRN)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:M
Last Name:BATTIN
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 1:46 WOODBURY AVE
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-2422
Mailing Address - Country:US
Mailing Address - Phone:203-324-0277
Mailing Address - Fax:
Practice Address - Street 1:1 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-5502
Practice Address - Country:US
Practice Address - Phone:203-332-5546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT20761OtherCONTROLLED SUBSTANCE NO.
CT20761OtherCONTROLLED SUBSTANCE NO.