Unknown Individual – Nurse Practitioner, NPI 1144396532
Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
19 Concord St
Glastonbury, CT 060332135
Phone: (860) 916-6244
Fax: (860) 430-5537
Type: Location
19, Concord Street, Glastonbury Historic District, Glastonbury, Capitol Planning Region, Connecticut, 06033, United States
GLASTONBURY, CT 060332135
Phone: (860) 916-6244
Type: Mailing
200, West Town Street, Bean Hill Historic District, Norwich, New London County, Connecticut, 06360, United States
NORWICH, CT 063602112
Phone: (860) 886-1508
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | CONNECTICUT | |
| - | CT | |
| - | CT |
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