Susan Small, APRN | |
71 Haynes St, Neonatal Intensive Care, Manchester, CT 06040-4131 | |
(860) 647-4748 | |
Not Available |
Full Name | Susan Small |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Neonatal |
Location | 71 Haynes St, Manchester, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588639629 | NPI | - | NPPES |
004254372 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0000X | Nurse Practitioner - Neonatal | 002054 (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 |
Entity Name | Physicians For Women's Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801826680 PECOS PAC ID: 3274430665 Enrollment ID: O20031215000455 |
Entity Name | Day Kimball Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376813972 PECOS PAC ID: 1557514411 Enrollment ID: O20130102000091 |
Mailing Address | Practice Location Address |
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Susan Small, APRN 71 Haynes St, Neonatal Intensive Care, Manchester, CT 06040-4131 Ph: (860) 647-4748 | Susan Small, APRN 71 Haynes St, Neonatal Intensive Care, Manchester, CT 06040-4131 Ph: (860) 647-4748 |
Mrs. Sarah A Diramio, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4176 Fax: 860-649-5219 | |
Lynda R. Dunlop, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Joanna Mrozek, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Oak St, Manchester, CT 06040 Phone: 860-559-6867 | |
Melissa A Moynihan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 N Main St, Manchester, CT 06042 Phone: 860-528-1359 | |
Mrs. Michelle Louton Vanduinen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 587 Middle Tpke E, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Christina Marie Martin, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319b Main St, Manchester, CT 06040 Phone: 860-643-1607 | |
Andrew Lauzier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 Fax: 866-603-4163 |