Ms Catherine G Micinilio, APRN | |
7003 Main St, Stratford, CT 06614 | |
(203) 257-6647 | |
Not Available |
Full Name | Ms Catherine G Micinilio |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7003 Main St, Stratford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932295656 | NPI | - | NPPES |
001098 | Other | CT | CT APRN LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 001098 (Connecticut) | Secondary |
363LF0000X | Nurse Practitioner - Family | 001098 (Connecticut) | Primary |
Entity Name | Ipc Hospitalists Of New England Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821401761 PECOS PAC ID: 7618051442 Enrollment ID: O20091221000423 |
Entity Name | Connecticut Post Acute Medical Services 1 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558890467 PECOS PAC ID: 5092089755 Enrollment ID: O20170919001161 |
Entity Name | Ma Pacs 2 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265918791 PECOS PAC ID: 4284983628 Enrollment ID: O20200717000540 |
Mailing Address | Practice Location Address |
---|---|
Ms Catherine G Micinilio, APRN 30 Inverness Rd, Trumbull, CT 06611-1716 Ph: (203) 257-6647 | Ms Catherine G Micinilio, APRN 7003 Main St, Stratford, CT 06614 Ph: (203) 257-6647 |
Katherine Bajda, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 837 Prospect Drive, Stratford, CT 06615 Phone: 203-521-6905 | |
Denise Ace, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 99 Hawley Ln, Stratford, CT 06614 Phone: 203-666-8145 | |
Christine Rosa, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hawley Ln, Stratford, CT 06614 Phone: 203-383-7735 Fax: 203-383-7735 | |
Mrs. Laura N Burr, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2184 Main St, Stratford, CT 06615 Phone: 203-378-9002 | |
Mrs. Liza Halper, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1450 James Farm Rd, Stratford, CT 06614 Phone: 203-209-2337 | |
Dr. Shaneika Amanda Mckenzie, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hawley Ln, Stratford, CT 06614 Phone: 866-389-2727 | |
Jacqueline Spano, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hawley Ln, Stratford, CT 06614 Phone: 203-383-7735 Fax: 203-375-0878 |