Mrs Carol Burnham Tuller, APRN | |
21 Waterville Rd, Harvest Healthcare C/o Apple Rehab, Avon, CT 06001 | |
(860) 678-9755 | |
(860) 284-6804 |
Full Name | Mrs Carol Burnham Tuller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 21 Waterville Rd, Avon, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699737189 | NPI | - | NPPES |
1699737189 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | CT000946 (Connecticut) | Primary |
363LF0000X | Nurse Practitioner - Family | 000946 (Connecticut) | Secondary |
Entity Name | Harvest Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477712917 PECOS PAC ID: 9931276979 Enrollment ID: O20080917000499 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carol Burnham Tuller, APRN 21 Waterville Rd, Harvest Healthcare C/o Apple Rehab, Avon, CT 06001 Ph: (860) 678-9755 | Mrs Carol Burnham Tuller, APRN 21 Waterville Rd, Harvest Healthcare C/o Apple Rehab, Avon, CT 06001 Ph: (860) 678-9755 |
Sasha Perry, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Waterville Rd, Avon, CT 06001 Phone: 860-284-0182 | |
Deborah L Collins-perrica, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21 Waterville Rd, Avon, CT 06001 Phone: 860-284-0182 Fax: 860-284-6804 | |
Latonya Sheriee King, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Simsbury Rd Bldg 9, Avon, CT 06001 Phone: 802-565-1755 Fax: 860-650-1920 | |
Courtney Streeto, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 21 Waterville Rd, Avon, CT 06001 Phone: 860-284-0182 | |
Marjorie Arni, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Waterville Rd, Avon, CT 06001 Phone: 860-674-2691 Fax: 860-677-6443 | |
Mr. David Yarbrough, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-777-1280 | |
Debra Anne Gage, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Fisher Drive, Hartford Hospital Cancer Center, Avon, CT 06001 Phone: 860-674-0088 |