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

Pediatric Advanced Care of West Haven LLC

Organization Pediatric Nurse Practitioner · NPI 1942669916

Pediatric Advanced Care of West Haven LLC is a Pediatric Nurse Practitioner in West Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2016.

Licensed in
CT
In the registry since
2016
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

755 Campbell Ave Ste 2
West Haven, CT 06516-3715
Phone: (203) 889-2297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 004531 (CT)

Record details

NPI number1942669916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Marcucio — Owner · (203) 889-2297
NPI enumeratedFebruary 18, 2016
Last updated in NPPESApril 5, 2016
Mailing address24 N Coe Ln, Ansonia, CT 06401-2818

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