Provider Demographics
NPI:1306175054
Name:AUERBACH, CLAUDIA (APRN)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:
Last Name:AUERBACH
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 1:333 CEDAR STREET, LMP 2073
Mailing Address - Street 2:PO BOX 208064
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8064
Mailing Address - Country:US
Mailing Address - Phone:203-785-4640
Mailing Address - Fax:203-737-2228
Practice Address - Street 1:1 PARK ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06504-8901
Practice Address - Country:US
Practice Address - Phone:203-785-4640
Practice Address - Fax:203-737-2228
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4111363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics