Jane P Genido-trujillo, MS,APRN | |
230 Waterford Pkwy S, Waterford, CT 06385-1219 | |
(860) 444-3744 | |
Not Available |
Full Name | Jane P Genido-trujillo |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 230 Waterford Pkwy S, Waterford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184876708 | NPI | - | NPPES |
803887 | Other | CT | CONNECTICARE |
008003100 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 003887 (Connecticut) | Secondary |
363L00000X | Nurse Practitioner | 003887 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Entity Name | Eastern Connecticut Hematology & Oncology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972604338 PECOS PAC ID: 3870552094 Enrollment ID: O20041005000138 |
Entity Name | New England Rheumatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013258664 PECOS PAC ID: 7113168113 Enrollment ID: O20130801000769 |
Mailing Address | Practice Location Address |
---|---|
Jane P Genido-trujillo, MS,APRN 230 Waterford Pkwy S, Waterford, CT 06385-1219 Ph: (860) 444-3744 | Jane P Genido-trujillo, MS,APRN 230 Waterford Pkwy S, Waterford, CT 06385-1219 Ph: (860) 444-3744 |
Michelle Lynn Harris, APRN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 567 Vauxhall Street Ext Ste 304, Waterford, CT 06385 Phone: 860-373-7170 Fax: 833-392-1165 | |
Alexandra Lamonica, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S, Waterford, CT 06385 Phone: 860-443-4455 | |
Melina Spanos, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Colonial Dr, Waterford, CT 06385 Phone: 860-460-5961 | |
Patricia Mcclure, APRN, PMH-NP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Mayfair Dr, Waterford, CT 06385 Phone: 860-442-6567 Fax: 860-440-3620 | |
Deborah Lynn Selm-orr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Waterford Pkwy S, Waterford, CT 06385 Phone: 860-444-3744 | |
Jessie R Baudner, ANP BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S Ste 306, Waterford, CT 06385 Phone: 860-447-2489 Fax: 860-437-1231 |