| Breann Wise, | |
|
849 Boston Post Rd, Milford, CT 06460-3537 | |
| (877) 925-3637 | |
| Not Available |
| Full Name | Breann Wise |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 849 Boston Post Rd, Milford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538990171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 12.013689 (Connecticut) | Primary |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Breann Wise, 400 Blake St Apt 5107, New Haven, CT 06515-4430 Ph: (801) 725-1244 | Breann Wise, 849 Boston Post Rd, Milford, CT 06460-3537 Ph: (877) 925-3637 |
Genna Thompson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 941 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 | |
Samantha Cabeceiras, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 849 Boston Post Rd Ste 102, Milford, CT 06460 Phone: 203-876-6848 | |
Christine S Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Wildemere Ave, Milford, CT 06460 Phone: 203-874-7790 | |
Rochak Pradhan, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Cherry St Ste 15, Milford, CT 06460 Phone: 203-876-0545 | |
Lauren Batchelor, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Commerce Park Ste 1, Milford, CT 06460 Phone: 203-878-3531 | |
Kylie A Gargano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 West Main St, Unit 106, Milford, CT 06460 Phone: 203-878-4312 Fax: 203-878-4151 | |
Deloretta Theresa Eckenrode, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Cherry St Ste 1, Milford, CT 06460 Phone: 203-874-7001 |