Marissa Lahaie, APRN | |
330 Pomfret St, Putnam, CT 06260-1854 | |
(860) 928-2736 | |
Not Available |
Full Name | Marissa Lahaie |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 330 Pomfret St, Putnam, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114208758 | NPI | - | NPPES |
008035051 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 4781 (Connecticut) | Primary |
Entity Name | Prohealth Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
---|---|
Marissa Lahaie, APRN 330 Pomfret St, Putnam, CT 06260-1854 Ph: (860) 928-2736 | Marissa Lahaie, APRN 330 Pomfret St, Putnam, CT 06260-1854 Ph: (860) 928-2736 |
Sara Cathleen Nickle, DNP, FNP-C, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Pomfret St, Putnam, CT 06260 Phone: 860-928-2736 | |
Mrs. Jeanne Bedard, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 346 Pomfret St, Putnam, CT 06260 Phone: 860-928-0815 Fax: 860-928-4514 | |
Kimberly J Lane, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 Fax: 860-963-6393 | |
Mrs. Kerri Lynn Sauer, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2133 | |
Ralph Frank Hirschfeld, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Pomfret St, Putnam, CT 06260 Phone: 860-963-7917 Fax: 860-963-0015 | |
Annette Jakubisin-konicki, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343 |