| Deanne Walsh, APRN | |
|
762 Lindley St, St.vincent's Family Health Center, Bridgeport, CT 06606-5046 | |
| (203) 576-5131 | |
| (203) 576-5730 |
| Full Name | Deanne Walsh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 762 Lindley St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053513903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2993 (Connecticut) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2993 (Connecticut) | Secondary |
| Entity Name | The Charlotte Hungerford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183 |
| Entity Name | South-west Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699703686 PECOS PAC ID: 2466445200 Enrollment ID: O20040420001098 |
| Entity Name | St. Vincent's Multispecialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
| Entity Name | St. Vincents Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912305483 PECOS PAC ID: 6901119767 Enrollment ID: O20150722005148 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanne Walsh, APRN 19 Knollcrest Dr, Trumbull, CT 06611-5332 Ph: (914) 493-1271 | Deanne Walsh, APRN 762 Lindley St, St.vincent's Family Health Center, Bridgeport, CT 06606-5046 Ph: (203) 576-5131 |
Caroline Clara Regan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4920 Main St Fl 2, Bridgeport, CT 06606 Phone: 860-243-4899 | |
Ryan Keenan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Caroline Mead Farrell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 908-489-4847 | |
Miss Sandra Shipkowitz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490 | |
Patricia Anne Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-368-3000 | |
Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584 | |
Olivia Frances Baril, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 968 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-330-6000 |