| Melissa Kate Fraher, | |
|
1 Park St, New Haven, CT 06504-8901 | |
| (860) 806-3253 | |
| Not Available |
| Full Name | Melissa Kate Fraher |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1 Park St, New Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124470299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 702194 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 7019 (Connecticut) | Primary |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Kate Fraher, 12 Chestnut Knoll Dr, Sandy Hook, CT 06482-1518 Ph: () - | Melissa Kate Fraher, 1 Park St, New Haven, CT 06504-8901 Ph: (860) 806-3253 |
Audrey P Senior, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-5860 Fax: 203-688-7533 | |
Ashley Antonucci, DNP- FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-688-8800 | |
Bailey Daum, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Trumbull St, New Haven, CT 06510 Phone: 646-270-4857 | |
Kentrone Vines, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Mrs. Lisa Jane Warren, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-7952 | |
Mrs. Rocca L Perruccio, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3000 Fax: 203-503-3224 | |
Alexa Blood, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Howard Ave, New Haven, CT 06519 Phone: 203-785-2565 |