| Rachel Kathleen Girouard, | |
|
464 Wolcott Rd, Wolcott, CT 06716 | |
| (203) 879-6171 | |
| Not Available |
| Full Name | Rachel Kathleen Girouard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 464 Wolcott Rd, Wolcott, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104602085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AG07230060 (Connecticut) | Primary |
| Entity Name | Advanced Dermatology Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639160294 PECOS PAC ID: 5294623005 Enrollment ID: O20040304000894 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Kathleen Girouard, 22 Brentwood Dr, Southington, CT 06489-2185 Ph: () - | Rachel Kathleen Girouard, 464 Wolcott Rd, Wolcott, CT 06716 Ph: (203) 879-6171 |
Mrs. Angela Holly Berry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 Tyrrell Drive, Wolcott, CT 06716 Phone: 203-704-6193 | |
Ms. Gayle Gwozdz, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 464 Wolcott Rd, Wolcott, CT 06716 Phone: 203-623-4560 | |
Cathy C Lanoie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 464 Wolcott Rd, Wolcott, CT 06716 Phone: 203-633-4560 Fax: 203-879-3566 | |
Karlene A Hylton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 464 Wolcott Rd, Gericare, Llc, Wolcott, CT 06716 Phone: 203-633-4560 Fax: 203-926-0594 | |
Roslyn Forde-tucker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Knollwood Dr, Wolcott, CT 06716 Phone: 203-768-5072 | |
Shivanna Subramani Gonzalez, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Wolcott Rd, Wolcott, CT 06716 Phone: 203-725-5339 |