Susan Parker, | |
290 Western Blvd, Glastonbury, CT 06033-1236 | |
(860) 652-5070 | |
Not Available |
Full Name | Susan Parker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 290 Western Blvd, Glastonbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265814719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 006094 (Connecticut) | Primary |
363LF0000X | Nurse Practitioner - Family | 6094 (Connecticut) | Secondary |
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 |
---|---|
Susan Parker, 290 Western Blvd, Glastonbury, CT 06033-1236 Ph: (860) 652-3325 | Susan Parker, 290 Western Blvd, Glastonbury, CT 06033-1236 Ph: (860) 652-5070 |
Madison Lee Corsini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 | |
Ms. Amanda Marie Swan, APRN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Welles St Ste 215, Glastonbury, CT 06033 Phone: 860-325-2679 Fax: 860-316-4064 | |
Dr. Bharat Bhushan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 241 Paxton Way, Glastonbury, CT 06033 Phone: 860-593-0920 | |
Nicole Fearon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 | |
Jennifer Freeman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2520 Main St, Glastonbury, CT 06033 Phone: 860-968-0430 Fax: 860-968-0431 | |
Tracy Sibley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Hebron Ave, Glastonbury, CT 06033 Phone: 860-383-3860 | |
Mrs. Sabienne Emilie Legros, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 |