Provider Demographics
NPI:1245906890
Name:O'CONNELL-BARGER, ROWAN MARGUERITE (APRN)
Entity type:Individual
Prefix:MS
First Name:ROWAN
Middle Name:MARGUERITE
Last Name:O'CONNELL-BARGER
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 1:428 COLUMBUS AVENUE
Mailing Address - Street 2:WOMEN'S HEALTH DEPARTMENT
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519
Mailing Address - Country:US
Mailing Address - Phone:203-503-3094
Mailing Address - Fax:
Practice Address - Street 1:428 COLUMBUS AVENUE
Practice Address - Street 2:WOMEN'S HEALTH DEPARTMENT
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519
Practice Address - Country:US
Practice Address - Phone:203-503-3094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9874363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health