| Angela Olivia Roberts, Aprn, Llc | |
|
427 Naubuc Ave Ste 101 Glastonbury CT 06033-1082 | |
| (959) 207-1951 | |
| (888) 845-1141 |
| Full Name | Angela Olivia Roberts, Aprn, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 427 Naubuc Ave Ste 101, Glastonbury, Connecticut |
| Authorized Official Name and Position | Angela Olivia Roberts (MANAGING MEMBER) |
| Authorized Official Contact | 9592071951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Olivia Roberts, Aprn, Llc 3021 Main St Rocky Hill CT 06067-3765 Ph: (860) 256-9367 | Angela Olivia Roberts, Aprn, Llc 427 Naubuc Ave Ste 101 Glastonbury CT 06033-1082 Ph: (959) 207-1951 |
| NPI Number | 1841816956 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Medicare PECOS PAC ID | 9335550599 |
|---|---|
| Medicare Enrollment ID | O20201119003078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841816956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Angela O Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477092773 PECOS PAC ID: 0143506923 Enrollment ID: I20170410001453 |
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