IndividualActive
Edin Memisevich, NP
NPI 1992160105 · Primary Care Nurse Practitioner · New Haven, CT
Provider details
- NPI number
- 1992160105
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 6411 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Long Wharf Dr
New Haven, CT 06511-5946
Phone: (203) 781-4600
Fax: (203) 781-4624
Approximate (ZIP-level) locationGet directions
Mailing address
1 Long Wharf Dr
New Haven, CT 06511-5946
Registry dates
- Enumerated
- 2015-12-15
- Last updated
- 2017-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.