| Mrs Loretta C Richardson, CNM | |
|
134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | |
| (860) 307-2937 | |
| (203) 754-0788 |
| Full Name | Mrs Loretta C Richardson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 134 Grandview Ave, Waterbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063492452 | NPI | - | NPPES |
| 004209509 | Medicaid | CT | |
| 1063492452 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN2340005 (Massachusetts) | Secondary |
| 367A00000X | Advanced Practice Midwife | 000166 (Connecticut) | Primary |
| Entity Name | Planned Parenthood Of Southern New England Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174633143 PECOS PAC ID: 3173436730 Enrollment ID: O20031110000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Loretta C Richardson, CNM 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 Ph: (860) 307-2937 | Mrs Loretta C Richardson, CNM 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 Ph: (860) 307-2937 |
Julianna J Thompson, CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 134 Grandview Ave, Waterbury, CT 06708 Phone: 203-754-2535 | |
Mrs. Shenelle Keisha Smith, MSN, CNM, IBCLC Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 134 Grandview Ave Ste 210, Waterbury, CT 06708 Phone: 203-754-2535 | |
Kathryn Spiess, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 140 Grandview Ave, Suite 202, Waterbury, CT 06708 Phone: 203-755-2344 Fax: 203-573-8166 | |
Vanessa Daou, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 134 Grandview Ave, Suite 210, Waterbury, CT 06708 Phone: 203-754-2535 Fax: 203-754-0788 | |
Carrie Ann Mi Costa, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 60 Westwood Ave Ste 100, Waterbury, CT 06708 Phone: 203-578-4609 | |
Ms. Deborah Garber, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 133 Scovill St, Suite 303, Waterbury, CT 06706 Phone: 203-575-1811 Fax: 203-575-1995 |