Alexandria Nicole Deisser, | |
130 Division St, Derby, CT 06418-1326 | |
(203) 735-7421 | |
Not Available |
Full Name | Alexandria Nicole Deisser |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 130 Division St, Derby, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598448466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 12215 (Connecticut) | Primary |
Entity Name | The Griffin Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184639973 PECOS PAC ID: 8921901984 Enrollment ID: O20040128000937 |
Mailing Address | Practice Location Address |
---|---|
Alexandria Nicole Deisser, 22 Conhurst Dr, North Haven, CT 06473-3566 Ph: () - | Alexandria Nicole Deisser, 130 Division St, Derby, CT 06418-1326 Ph: (203) 735-7421 |
Dr. Dwayne Alansier Hall, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 | |
Carol Lauer, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 | |
Katherine N Bunger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Division St Fl 1, Derby, CT 06418 Phone: 203-732-1257 Fax: 203-732-2470 | |
Heather Eckenrode, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 | |
Tammie C Carey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7252 Fax: 203-732-1539 | |
Christie M Czarnecki, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7252 Fax: 203-732-1539 | |
Diana Bytyqi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Division Street, Derby, CT 06418 Phone: 203-735-3500 |