| Cynthia Bodeur, APRN | |
|
155 Hazard Ave, Suite 14, Enfield, CT 06082-4580 | |
| (860) 749-3169 | |
| Not Available |
| Full Name | Cynthia Bodeur |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 155 Hazard Ave, Enfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518373398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 5828 (Connecticut) | Primary |
| 163WP0200X | Registered Nurse - Pediatrics | 119579 (Connecticut) | Secondary |
| Entity Name | Prohealth Physicians Pc |
|---|---|
| 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 |
|---|---|
| Cynthia Bodeur, APRN 155 Hazard Ave, Suite 14, Enfield, CT 06082-4580 Ph: (860) 749-3169 | Cynthia Bodeur, APRN 155 Hazard Ave, Suite 14, Enfield, CT 06082-4580 Ph: (860) 749-3169 |
Brennan Brigante, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Wynwood Dr, Enfield, CT 06082 Phone: 860-304-2841 | |
Lindsey Diane Petrangelo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 Hazard Ave Ste 103, Enfield, CT 06082 Phone: 860-962-6600 Fax: 860-962-6866 | |
Kelly Julia Nolin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9 Cranbrook Blvd, Enfield, CT 06082 Phone: 860-253-5330 | |
Emily Christina Dow, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Hazard Ave Ste 2, Enfield, CT 06082 Phone: 860-698-6041 | |
Katherine Snow Rutt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Hazard Ave Ste 5-6, Enfield, CT 06082 Phone: 860-763-7668 Fax: 860-763-7676 | |
Maja Matwiejczuk, FNP APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 113 Elm Street, Suite 304, Enfield, CT 06082 Phone: 860-741-2225 Fax: 860-741-2229 | |
Anna Maria Fleischman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Hazard Ave, Enfield, CT 06082 Phone: 860-714-4680 |