Provider Demographics
NPI:1124148887
Name:YALE UNIVERSITY
Entity type:Organization
Organization Name:YALE UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR AND ASSOCIATE DEAN
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, APRN, CPNP
Authorized Official - Phone:203-737-5432
Mailing Address - Street 1:PO BOX 9740
Mailing Address - Street 2:YALE SCHOOL OF NURSING, 100 CHURCH ST. SOUTH, SUITE 200
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06536-0740
Mailing Address - Country:US
Mailing Address - Phone:203-737-5432
Mailing Address - Fax:203-737-5710
Practice Address - Street 1:100 CHURCH ST S STE 200
Practice Address - Street 2:YALE SCHOOL OF NURSING
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1703
Practice Address - Country:US
Practice Address - Phone:203-737-5432
Practice Address - Fax:203-737-5710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTCO2841Medicare ID - Type Unspecified