Ifeyinwa Leonard, | |
240 Indian River Rd, Orange, CT 06477-3649 | |
(203) 497-3861 | |
Not Available |
Full Name | Ifeyinwa Leonard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 240 Indian River Rd, Orange, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457998502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 8604 (Connecticut) | Primary |
Entity Name | Impact Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315 |
Mailing Address | Practice Location Address |
---|---|
Ifeyinwa Leonard, 31 Kingston St, Wethersfield, CT 06109-1317 Ph: (860) 718-5061 | Ifeyinwa Leonard, 240 Indian River Rd, Orange, CT 06477-3649 Ph: (203) 497-3861 |
Miss Tatiana Tumeniuk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Indian River Rd Ste A5, Orange, CT 06477 Phone: 203-799-1252 | |
Katherine Siegel, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W Campus Dr, Orange, CT 06477 Phone: 203-432-2700 | |
Samantha Bixby, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Indian River Rd, Orange, CT 06477 Phone: 203-497-3881 | |
Christopher Defrancesco, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 Boston Post Rd Ste 2f, Orange, CT 06477 Phone: 203-795-0568 | |
Jillian Marie Reid, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Indian River Rd, Orange, CT 06477 Phone: 203-497-3861 | |
Roxanne P Chase-wiley, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Indian River Rd Ste C, Orange, CT 06477 Phone: 475-400-7688 | |
Cheryl Waskiewicz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 131 Englewood Dr, Orange, CT 06477 Phone: 203-799-8180 Fax: 209-179-9818 |