Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crescent St OBGYN LLC

Organization Nurse Practitioner · NPI 1184884355

Crescent St OBGYN LLC is a Nurse Practitioner in Middletown, Connecticut. Licensed in Connecticut. Registered with an NPI since 2008.

Licensed in
CT
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

49 Crescent St
Middletown, CT 06457-3601
Phone: (860) 344-9993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 002684 (CT)

Record details

NPI number1184884355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Flagg — Owner · (860) 344-9993
NPI enumeratedJune 11, 2008
Last updated in NPPESJune 11, 2008
Mailing address49 Crescent St, Middletown, CT 06457-3601

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