Donna L Mariano, APRN | |
67 Masonic Ave, Suite 3100, Wallingford, CT 06492-3095 | |
(203) 284-3144 | |
(203) 284-3150 |
Full Name | Donna L Mariano |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 67 Masonic Ave, Wallingford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194749283 | NPI | - | NPPES |
004231023 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 002774 (Connecticut) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 002774 (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 |
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Donna L Mariano, APRN 67 Masonic Ave, Suite 3100, Wallingford, CT 06492-3095 Ph: (203) 626-6511 | Donna L Mariano, APRN 67 Masonic Ave, Suite 3100, Wallingford, CT 06492-3095 Ph: (203) 284-3144 |
Kaitlyn Elizabeth Flynn, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 863 N Main Street Ext Ste 101, Wallingford, CT 06492 Phone: 203-269-3791 | |
Carrie Elizabeth Grassi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Thorpe Ave Ste 104, Wallingford, CT 06492 Phone: 203-779-5799 | |
Katey Elizabeth Green, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Gaylord Farm Rd, Wallingford, CT 06492 Phone: 203-284-2800 | |
Deborah B Fahs, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 N Main Street Ext., Bldg 2 Suite C2, Wallingford, CT 06492 Phone: 203-269-9778 Fax: 203-949-1544 | |
Joan Mary Landino, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 185 Center St, Wallingford, CT 06492 Phone: 203-676-3606 Fax: 203-265-1037 | |
Dr. Erin Elizabeth Sherman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 74 Cheshire Road, Wallingford, CT 06492 Phone: 203-931-2370 |