Keisha Stephens, | |
525 Bridgeport Ave Ste 204, Shelton, CT 06484-4700 | |
(203) 929-1954 | |
Not Available |
Full Name | Keisha Stephens |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 525 Bridgeport Ave Ste 204, Shelton, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932783859 | NPI | - | NPPES |
137006 | Other | CT | REGISTERED NURSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 12459 (Connecticut) | Primary |
Entity Name | Rivia Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134644032 PECOS PAC ID: 4880009943 Enrollment ID: O20231117002635 |
Mailing Address | Practice Location Address |
---|---|
Keisha Stephens, 525 Bridgeport Ave Ste 204, Shelton, CT 06484-4700 Ph: () - | Keisha Stephens, 525 Bridgeport Ave Ste 204, Shelton, CT 06484-4700 Ph: (203) 929-1954 |
Susan Penque, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 Frans Way, Shelton, CT 06484 Phone: 516-640-6195 | |
Jacqueline Aileen Gambeski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Corporate Dr Ste 290, Shelton, CT 06484 Phone: 203-452-8322 | |
Dolores Starrett, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Acadia Ln Unit 6103, Shelton, CT 06484 Phone: 203-808-5509 | |
Mrs. Elyane L Michnick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Corporate Dr, Suite 420, Shelton, CT 06484 Phone: 203-925-9600 Fax: 203-926-0594 | |
Mr. John Joseph Digiacomo, MSN, FNP-BC, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Corporate Dr Ste 394, Shelton, CT 06484 Phone: 032-250-3752 Fax: 203-225-0376 | |
Mrs. Brittany Herman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 887 Bridgeport Ave, Shelton, CT 06484 Phone: 203-225-6020 | |
Marie Oge-nerette, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Cranston Ave, Shelton, CT 06484 Phone: 203-209-4837 |