Laura Sundstrom, CNM | |
374 Grand Ave, Fair Haven Community Health Center, New Haven, CT 06513 | |
(203) 777-7411 | |
Not Available |
Full Name | Laura Sundstrom |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 374 Grand Ave, New Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720056963 | NPI | - | NPPES |
004235900 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 000279 (Connecticut) | Primary |
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Mailing Address | Practice Location Address |
---|---|
Laura Sundstrom, CNM 374 Grand Ave, New Haven, CT 06513-3733 Ph: (203) 777-7411 | Laura Sundstrom, CNM 374 Grand Ave, Fair Haven Community Health Center, New Haven, CT 06513 Ph: (203) 777-7411 |
Kristin Nowak, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 46 Prince St, #207, New Haven, CT 06519 Phone: 203-787-2264 Fax: 203-497-9354 | |
Ms. Susan Debarge, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2 Church St S, #209, New Haven, CT 06519 Phone: 203-787-2264 Fax: 203-497-9354 | |
Allison Mae Ipsen, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 374 Grand Ave # 3733, New Haven, CT 06513 Phone: 203-777-7411 | |
Ellen J Wormser, CNM LNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 Phone: 203-777-7411 Fax: 203-777-8506 | |
Deborah Lynn Meredith, LNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 55 Lock Street, New Haven, CT 06511 Phone: 203-432-0222 Fax: 203-432-7289 | |
Parris-marie Cannon, CNM, NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 47 Assumption St, New Haven, CT 06513 Phone: 203-809-1757 | |
Joan M Messner, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 46 Prince St, #207, New Haven, CT 06519 Phone: 203-787-2264 Fax: 203-787-5667 |