| Kimberly Mancinelli-hough, APRN | |
|
43 Crane Rd, Ellington, CT 06029-2004 | |
| (413) 427-2526 | |
| Not Available |
| Full Name | Kimberly Mancinelli-hough |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 43 Crane Rd, Ellington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659196590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 14149 (Connecticut) | Primary |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Mancinelli-hough, APRN 43 Crane Rd, Ellington, CT 06029-2004 Ph: (413) 427-2526 | Kimberly Mancinelli-hough, APRN 43 Crane Rd, Ellington, CT 06029-2004 Ph: (413) 427-2526 |
Diane Roberto-nichols, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 West Rd, Ellington, CT 06029 Phone: 860-872-7854 Fax: 860-870-7944 | |
Dr. Kendra A Becker-musante, APRN,NMD Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Main St Ste 7, Ellington, CT 06029 Phone: 860-572-7711 Fax: 860-574-9014 | |
Ms. Kiersten Brienne Duncan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 West Rd, Ellington, CT 06029 Phone: 845-418-9442 | |
Janet Marie Fischer, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 West Rd, Ellington, CT 06029 Phone: 860-872-7854 Fax: 860-870-7944 | |
Sonja Rene Alexander, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Windermere Ave, Apt 4408, Ellington, CT 06029 Phone: 210-501-8181 |