| Blueprint Diabetes Management And Consulting | |
|
11 Taverner Rd Windsor CT 06095-1749 | |
| (860) 951-4140 | |
| (860) 300-8465 |
| Full Name | Blueprint Diabetes Management And Consulting |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 11 Taverner Rd, Windsor, Connecticut |
| Authorized Official Name and Position | Rushickah Brooks (BUSINESS OWNER) |
| Authorized Official Contact | 8609660876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blueprint Diabetes Management And Consulting #1016 14 Hazard Ave Suite 23 Enfield CT 06082 Ph: (860) 951-4140 | Blueprint Diabetes Management And Consulting 11 Taverner Rd Windsor CT 06095-1749 Ph: (860) 951-4140 |
| NPI Number | 1922746312 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922746312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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