Paul Niedbala
Paul Niedbala is a Nurse Practitioner in Pawcatuck, Connecticut. Qualified in 2021, 5 years ago. Practices with Ptsma Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 5
- Licensed in
- CT
- In the registry since
- 2022
Practice location Address checks out
91 Voluntown RdPawcatuck, CT 06379-1389
Phone: (860) 599-5477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 10296 (CT) |
|---|
Record details
| NPI number | 1194474122 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 18, 2022 |
| Last updated in NPPES | March 18, 2022 |
| Certification date | March 18, 2022 |
| Mailing address | 11 Banker Ct, Pawcatuck, CT 06379-1345 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Ptsma Inc — 177 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Pawcatuck
-
Jennifer Roch Avedisian
350 Liberty St Ste 102, Pawcatuck, CT 06379-1354 · (860) 599-9961
-
Mrs. Vera Marie Borkowski, MS, FNP-C
91 Voluntown Rd, Pawcatuck, CT 06379-1389 · (860) 599-5477