| Kathleen Eagle, MSN, APRN, FNP-C | |
|
620 Norwich New London Tpke, Uncasville, CT 06382-2156 | |
| (860) 892-8012 | |
| (860) 892-8027 |
| Full Name | Kathleen Eagle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 620 Norwich New London Tpke, Uncasville, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275202087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 009880 (Connecticut) | Primary |
| Entity Name | Balanced Wellness Primary Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780926774 PECOS PAC ID: 6901048255 Enrollment ID: O20130815000546 |
| Entity Name | Matrix Medical Plus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220307000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Eagle, MSN, APRN, FNP-C 432 Three Corners Rd, Guilford, CT 06437-2531 Ph: (860) 798-5040 | Kathleen Eagle, MSN, APRN, FNP-C 620 Norwich New London Tpke, Uncasville, CT 06382-2156 Ph: (860) 892-8012 |
Danielle Lee Mallory, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-892-8012 |
Lisa L Mcdermott, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13 Crow Hill Rd, Uncasville, CT 06382 Phone: 860-862-6302 |
Mrs. Nicole Eddy Ortiz, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-848-1297 |
Mrs. Deborah Elizabeth Donat, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382 Phone: 860-367-0087 Fax: 860-367-0117 |
Heather Landry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Sandy Desert Rd, Uncasville, CT 06382 Phone: 860-464-3600 |
Kuljit Kaur, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382 Phone: 860-367-0087 |
Anxhela Uzhuri, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 88 Norwich-new London Turnpike #2e, Uncasville, CT 06382 Phone: 860-367-0087 |