| Jennifer Richello, DNP, PMHNP-BC, APRN | |
|
2389 Main St Ste 100, Glastonbury, CT 06033-4617 | |
| (860) 479-1684 | |
| (463) 464-3753 |
| Full Name | Jennifer Richello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2389 Main St Ste 100, Glastonbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952010985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 12.011181 (Connecticut) | Primary |
| Entity Name | Connecticut Mental Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053362814 PECOS PAC ID: 0345130563 Enrollment ID: O20040319000165 |
| Entity Name | Collaborative Cancer Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396516381 PECOS PAC ID: 8729420237 Enrollment ID: O20240530000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Richello, DNP, PMHNP-BC, APRN Po Box 4675, Wallingford, CT 06492-7568 Ph: (860) 479-1684 | Jennifer Richello, DNP, PMHNP-BC, APRN 2389 Main St Ste 100, Glastonbury, CT 06033-4617 Ph: (860) 479-1684 |
Madison Lee Corsini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 | |
Ms. Amanda Marie Swan, APRN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Welles St Ste 215, Glastonbury, CT 06033 Phone: 860-325-2679 Fax: 860-316-4064 | |
Dr. Bharat Bhushan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 241 Paxton Way, Glastonbury, CT 06033 Phone: 860-593-0920 | |
Nicole Fearon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 | |
Jennifer Freeman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2520 Main St, Glastonbury, CT 06033 Phone: 860-968-0430 Fax: 860-968-0431 | |
Tracy Sibley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Hebron Ave, Glastonbury, CT 06033 Phone: 860-383-3860 | |
Mrs. Sabienne Emilie Legros, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 |