Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATALIE MARIE CONCANNON, PA
ActiveNATALIE MARIE CONCANNON, PA is a Medical Physician Assistant healthcare provider located in WATERFORD, Connecticut. NPI 1720422645 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WATERFORD, CT
Registration Details
- NPI Number
- 1720422645
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2013 (13.288283332392 yrs)
- Last Updated
- Oct 23, 2025
- Licenses
-
25MP00473600 (NJ)5660 (CT)
Practice Information
- Address
-
5 DAYTON RD STE 205WATERFORD, CT, 063854279Browse CT providers · Browse ZIP 06385
- Phone
- 8604434445
- Fax
- 8604478961
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in WATERFORD, CT
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY GUZZIO | PA-C | 1376587584 |
| JODI V HODGE | PA-C | 1326279035 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.