Brenda B Mcneil, APRN | |
305 Flanders Rd, Flanders Pediatrics, East Lyme, CT 06333-1743 | |
(860) 739-0348 | |
(860) 739-6779 |
Full Name | Brenda B Mcneil |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 305 Flanders Rd, East Lyme, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457366742 | NPI | - | NPPES |
004218378 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 001057 (Connecticut) | Primary |
Entity Name | Hartford Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
Mailing Address | Practice Location Address |
---|---|
Brenda B Mcneil, APRN 305 Flanders Rd, Flanders Pediatrics, East Lyme, CT 06333-1743 Ph: (860) 739-0348 | Brenda B Mcneil, APRN 305 Flanders Rd, Flanders Pediatrics, East Lyme, CT 06333-1743 Ph: (860) 739-0348 |
Elizabeth Henry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Flanders Rd, East Lyme, CT 06333 Phone: 860-739-0348 Fax: 860-739-6779 | |
Eda Topi, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Alscot Dr, East Lyme, CT 06333 Phone: 860-910-7779 | |
Grace K. Grajales, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Flanders Rd, East Lyme, CT 06333 Phone: 860-739-0348 Fax: 860-739-6779 |