IndividualActive
Andrea Moenkemoeller
NPI 1962353292 · Surgical Physician Assistant · Bridgeport, CT
Provider details
- NPI number
- 1962353292
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7527 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2800 Main St
Bridgeport, CT 06606-4292
Phone: (203) 576-6000
Approximate (ZIP-level) locationGet directions
Mailing address
2800 Main St
Bridgeport, CT 06606-4292
Registry dates
- Enumerated
- 2026-02-04
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.