Mrs Eileen M Moore, APRN | |
108 New London Tpke, Norwich, CT 06360-2645 | |
(860) 889-3052 | |
(860) 889-0926 |
Full Name | Mrs Eileen M Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 108 New London Tpke, Norwich, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588700538 | NPI | - | NPPES |
001598 | Other | CT | APRN LICENSE NUMBER |
004183365 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 001598 (Connecticut) | Primary |
Entity Name | Walid A Jaziri |
---|---|
Entity Type | Practitioner - Psychiatry |
Entity Identifiers | NPI Number: 1760538102 PECOS PAC ID: 5799729687 Enrollment ID: I20110504000261 |
Mailing Address | Practice Location Address |
---|---|
Mrs Eileen M Moore, APRN 108 New London Tpke, Norwich, CT 06360-2645 Ph: (860) 889-3052 | Mrs Eileen M Moore, APRN 108 New London Tpke, Norwich, CT 06360-2645 Ph: (860) 889-3052 |
Mafe Duyan Rato, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 W West Main St, St 140, Norwich, CT 06360 Phone: 860-200-8098 | |
Meagan Gates, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 372 W Main St, Norwich, CT 06360 Phone: 860-887-5970 | |
Mrs. Polina Verbitsky-havasov, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 Town St Ste 300, Norwich, CT 06360 Phone: 860-886-0567 Fax: 860-886-0656 | |
John Kemp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Cliff St, Norwich, CT 06360 Phone: 860-887-6536 Fax: 860-823-3856 | |
Sarah Jean Robertson, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 W Main St, Norwich, CT 06360 Phone: 860-889-1400 | |
Jessica Banning, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Lathrop Ave, Norwich, CT 06360 Phone: 860-204-0883 | |
Olubunmi Olugbile, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 |