Nicole Rose, CNM | |
2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560 | |
(518) 844-1633 | |
Not Available |
Full Name | Nicole Rose |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 2600 Tamarack Ave Ste 200, South Windsor, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528720729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | Obgyn Group Of Eastern Connecticut Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376756908 PECOS PAC ID: 2769370352 Enrollment ID: O20040305000770 |
Mailing Address | Practice Location Address |
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Nicole Rose, CNM 35 Boivin St, Bristol, CT 06010-3033 Ph: (518) 844-1633 | Nicole Rose, CNM 2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560 Ph: (518) 844-1633 |
Jessica M Bridge, MSN, CNM, WHNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 Phone: 860-646-1157 Fax: 860-646-9877 | |
Rachel Lina Gima, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 Phone: 860-646-1157 |