| Dr Rosemary Johnson, APRN | |
|
75 Norwich Westerly Rd, Ledyard, CT 06339-1128 | |
| (860) 312-8000 | |
| (860) 312-8001 |
| Full Name | Dr Rosemary Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 75 Norwich Westerly Rd, Ledyard, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497188593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | E59244 (Connecticut) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 002299 (Connecticut) | Primary |
| Entity Name | Mashantucket Pequot Tribal Council |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508140922 PECOS PAC ID: 8628295599 Enrollment ID: O20140818000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rosemary Johnson, APRN 75 Norwich Westerly Rd, Ledyard, CT 06339-1128 Ph: (860) 312-8000 | Dr Rosemary Johnson, APRN 75 Norwich Westerly Rd, Ledyard, CT 06339-1128 Ph: (860) 312-8000 |
Mrs. Sandra Berardy, AP RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Route 2, Mashantucket Pequot Indian Health Services, Ledyard, CT 06339 Phone: 860-312-8000 Fax: 860-312-8036 | |
Blonie R Conde, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Aljen Ave, Ledyard, CT 06339 Phone: 860-381-9023 | |
Kristine Callender, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 84 Church Hill Rd, Ledyard, CT 06339 Phone: 860-822-3924 | |
Dr. Marilyn Andersen Richard, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Colonel Ledyard Hwy, Ledyard, CT 06339 Phone: 860-572-7556 Fax: 860-572-2976 |