| Mallory Alexis Freeman, APRN | |
|
9 Arnold Dr, East Hartford, CT 06108-2909 | |
| (203) 212-7592 | |
| (860) 855-7708 |
| Full Name | Mallory Alexis Freeman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9 Arnold Dr, East Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255009056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 126588 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10018 (Connecticut) | Primary |
| Entity Name | Community Health Resources, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155 |
| Entity Name | Intercommunity Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073548533 PECOS PAC ID: 9032001649 Enrollment ID: O20040329000218 |
| Entity Name | Harvest Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477712917 PECOS PAC ID: 9931276979 Enrollment ID: O20080917000499 |
| Entity Name | Livwell Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942866793 PECOS PAC ID: 3476883265 Enrollment ID: O20190920001641 |
| Entity Name | Wct Behavioral Health & Medication Management Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285391474 PECOS PAC ID: 8820480734 Enrollment ID: O20220126000469 |
| Entity Name | Healthfair Plus Pc |
|---|---|
| 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 |
|---|---|
| Mallory Alexis Freeman, APRN 9 Arnold Dr, East Hartford, CT 06108-2909 Ph: (203) 212-7592 | Mallory Alexis Freeman, APRN 9 Arnold Dr, East Hartford, CT 06108-2909 Ph: (203) 212-7592 |
Ms. Kristina Maria Deconti, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 893 Main St, East Hartford, CT 06108 Phone: 860-528-4124 | |
Diane Sanchez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 893 Main St, Suite 202, East Hartford, CT 06108 Phone: 860-528-4124 Fax: 860-282-1213 | |
Jazmin Johnson, MSN-ED, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Tolland St, East Hartford, CT 06108 Phone: 203-679-9274 Fax: 860-374-2249 | |
Mileidy Perez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 724 Brewer St, East Hartford, CT 06118 Phone: 860-281-6717 | |
Luz Esther Valentin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 | |
Theresa Antwi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1331 Burnside Ave Apt A4, East Hartford, CT 06108 Phone: 240-408-0736 | |
Ms. Nancy Concepcion, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 Fax: 860-290-4142 |