| Dr Eymy Diana Chacon, APRN | |
|
764 Campbell Ave, West Haven, CT 06516-3786 | |
| (203) 931-0034 | |
| Not Available |
| Full Name | Dr Eymy Diana Chacon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 764 Campbell Ave, West Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881180222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 12 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN285274 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eymy Diana Chacon, APRN 3495 Piedmont Rd Ne Bldg 93, Atlanta, GA 30305-1717 Ph: (404) 949-5183 | Dr Eymy Diana Chacon, APRN 764 Campbell Ave, West Haven, CT 06516-3786 Ph: (203) 931-0034 |
Ms. Michele V Coral, APRN,CS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave # 116-a, West Haven, CT 06516 Phone: 203-932-5711 | |
Dr. Tiffany Marie Townsend, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 655 Sawmill Rd Ste 4, West Haven, CT 06516 Phone: 203-535-0391 Fax: 877-427-6184 | |
Mrs. Sarah Connan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Cellini Pl Ste 102, West Haven, CT 06516 Phone: 203-932-6481 Fax: 203-932-4051 | |
Susan Marchitto, PNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Cove Brook Rd, West Haven, CT 06516 Phone: 203-641-0765 | |
Allison Marie Altenburger, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Cellini Pl Ste 102, West Haven, CT 06516 Phone: 203-932-6481 Fax: 203-932-4051 | |
Christine B Paranal, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Arlington St, West Haven, CT 06516 Phone: 203-934-2691 | |
Olutoyin Adesola, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 687 Campbell Ave, West Haven, CT 06516 Phone: 203-932-6481 |