| Kerisha S Prince, | |
|
1022 Farmington Ave, West Hartford, CT 06107-2105 | |
| (860) 521-8035 | |
| (860) 521-8036 |
| Full Name | Kerisha S Prince |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1022 Farmington Ave, West Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861107591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 153956 (Connecticut) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 011413 (Connecticut) | Primary |
| Entity Name | Community Health Resources, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerisha S Prince, 92 Cheney Ln, East Hartford, CT 06118-3005 Ph: (718) 501-9840 | Kerisha S Prince, 1022 Farmington Ave, West Hartford, CT 06107-2105 Ph: (860) 521-8035 |
Erin Hannan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 345 N Main St, Suite 248, West Hartford, CT 06117 Phone: 860-231-8345 Fax: 860-523-4061 | |
Marina Creed, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 87 Outlook Ave, West Hartford, CT 06119 Phone: 860-888-6032 Fax: 860-888-6032 | |
Ms. Keira S Ledoux, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 345 N Main St Ste 248, West Hartford, CT 06117 Phone: 860-231-8345 | |
Ms. Jessica L Haggett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Farmington Ave, West Hartford, CT 06107 Phone: 860-213-8365 | |
Mrs. Stephanie Lajeunesse, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1245 New Britain Ave, West Hartford, CT 06110 Phone: 860-234-3325 | |
Ms. Camille Margaux Karalekas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 N Main St, West Hartford, CT 06107 Phone: 860-206-9552 Fax: 860-206-9554 | |
Kelly Ann Riggieri, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 345 N Main St, Suite 245, West Hartford, CT 06117 Phone: 860-236-3000 Fax: 860-236-3002 |