Basic Information
| Provider Information | |||||||||
| NPI: | 1407191034 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COURNEAN | ||||||||
| FirstName: | ELAINE | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 73 HIGH ST | ||||||||
| Address2: | |||||||||
| City: | COLLINSVILLE | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060193127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606931988 | ||||||||
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| Practice Location | |||||||||
| Address1: | JOHN DEMPSEY HOSPITAL | ||||||||
| Address2: | 263 FARMINGTON AVENUE | ||||||||
| City: | FARMINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060300001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606792000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2012 | ||||||||
| LastUpdateDate: | 09/26/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP2300X | 005235 | CT | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |
No ID Information.