| Heidi Clarke, LPN | |
|
1 Long Wharf Dr, New Haven, CT 06511-5991 | |
| (203) 781-4600 | |
| (203) 781-4624 |
| Full Name | Heidi Clarke |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1 Long Wharf Dr, New Haven, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013347145 | NPI | - | NPPES |
| 008003745 | Medicaid | CT | |
| 004041000 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 22983 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Clarke, LPN 1 Long Wharf Dr, New Haven, CT 06511-5991 Ph: (203) 781-4600 | Heidi Clarke, LPN 1 Long Wharf Dr, New Haven, CT 06511-5991 Ph: (203) 781-4600 |
Beverly Brazzell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-781-4600 Fax: 203-781-4624 | |
Miss Tia Marie Edwards, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-781-4600 Fax: 203-781-4624 | |
Dianna Gabrielle Celano, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 495 Congress Ave, New Haven, CT 06519 Phone: 203-752-8091 | |
Ms. Denise L Shannon, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 495 Congress Ave, New Haven, CT 06519 Phone: 203-781-4600 Fax: 203-781-4624 | |
Ms. Loretta Gibson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 495 Congress Ave, New Haven, CT 06519 Phone: 203-781-4600 Fax: 203-781-4624 | |
Arlene O'callahan, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-781-4600 Fax: 203-781-4624 |