Kristen Fernandez, RN | |
118 S Broad St, Pawcatuck, CT 06379-1925 | |
(860) 860-5728 | |
Not Available |
Full Name | Kristen Fernandez |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 118 S Broad St, Pawcatuck, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881301711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11677 (Connecticut) | Primary |
163W00000X | Registered Nurse | 122802 (Connecticut) | Secondary |
Entity Name | Connecticut Behavioral Health Assoc, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629158126 PECOS PAC ID: 4385532373 Enrollment ID: O20040310000567 |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902831548 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000291 |
Mailing Address | Practice Location Address |
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Kristen Fernandez, RN 118 S Broad St, Pawcatuck, CT 06379-1925 Ph: (860) 572-8834 | Kristen Fernandez, RN 118 S Broad St, Pawcatuck, CT 06379-1925 Ph: (860) 860-5728 |
Karyn Bessette, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 Lathrop Ave, Pawcatuck, CT 06379 Phone: 860-912-8611 | |
Paul Niedbala, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 91 Voluntown Rd, Pawcatuck, CT 06379 Phone: 860-599-5477 | |
Jennifer Roch Avedisian, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 350 Liberty St Ste 102, Pawcatuck, CT 06379 Phone: 860-599-9961 Fax: 860-972-7040 | |
Janine Brooks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47 Elmridge Rd, Pawcatuck, CT 06379 Phone: 617-331-2014 | |
Catherine Krenicky, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 High Ridge Dr, Pawcatuck, CT 06379 Phone: 860-599-5654 Fax: 860-599-6004 | |
Mrs. Vera Marie Borkowski, MS, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 91 Voluntown Rd, Pawcatuck, CT 06379 Phone: 860-599-5477 |