Ms Priscilla B Malloy, AP RN | |
282 Washington St, Hartford, CT 06106-3322 | |
(860) 545-9300 | |
(860) 545-9301 |
Full Name | Ms Priscilla B Malloy |
---|---|
Gender | Female |
Speciality | Clinical Nurse Specialist - Pediatrics |
Location | 282 Washington St, Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932172681 | NPI | - | NPPES |
004236007 | Medicaid | CT | |
R32068 | Other | CT | RN LICENSE |
000209 | Other | CT | APRN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0200X | Registered Nurse - Pediatrics | R32068 (Connecticut) | Secondary |
364SP0200X | Clinical Nurse Specialist - Pediatrics | 000209 (Connecticut) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Mailing Address | Practice Location Address |
---|---|
Ms Priscilla B Malloy, AP RN 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 545-9300 | Ms Priscilla B Malloy, AP RN 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 545-9300 |
Karen A Smith, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour Street, Hartford Hospital Psychiatry Dept, Hartford, CT 06102 Phone: 860-545-2629 | |
Diane M Bray, APRN, BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 664 Prospect Ave, Hartford, CT 06105 Phone: 860-236-8087 Fax: 860-586-7422 | |
Suzanne Femino, APRN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 80 Seymour Street, Hartford Hospital Child Psychiatry, Hartford, CT 06102 Phone: 860-545-7200 | |
Carol J Raza, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 200 Retreat Avenue, Hartford Hospital Geriatric Psychiatry, Hartford, CT 06106 Phone: 860-545-7189 | |
Ms. Johanna L Meehan, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 114 Woodland St, Cancer Center, Hartford, CT 06105 Phone: 860-714-5554 Fax: 860-714-8047 | |
Kirsten D Markowitz, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 100 Retreat Ave, #705, Hartford, CT 06106 Phone: 860-278-0070 Fax: 860-522-6081 | |
Ellen M Crowley, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour Street, Hartford Hospital Psychiatry Dept, Hartford, CT 06102 Phone: 860-545-7665 |