| Healthykidsne, Pllc | |
|
763burnside Avenue East Hartford CT 06108 | |
| (860) 573-7682 | |
| Not Available |
| Full Name | Healthykidsne, Pllc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 763burnside Avenue, East Hartford, Connecticut |
| Authorized Official Name and Position | Deborah J Poerio (PRESIDENT/CEO) |
| Authorized Official Contact | 8605737682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthykidsne, Pllc 763burnside Avenue East Hartford CT 06108 Ph: (860) 573-7682 | Healthykidsne, Pllc 763burnside Avenue East Hartford CT 06108 Ph: (860) 573-7682 |
| NPI Number | 1104445352 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 04/08/2020 |
| Certification Date | 04/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104445352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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