| Stephanie L Wilborne, APRN | |
|
85 Lafayette St, New Britain, CT 06051-1803 | |
| (860) 224-3642 | |
| (860) 224-2760 |
| Full Name | Stephanie L Wilborne |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 85 Lafayette St, New Britain, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366419251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SF0001X | Clinical Nurse Specialist - Family Health | 002941 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 002941 (Connecticut) | Primary |
| Entity Name | Optimus Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669445946 PECOS PAC ID: 9335051580 Enrollment ID: O20031105000254 |
| Entity Name | Charter Oak Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992750855 PECOS PAC ID: 3870401078 Enrollment ID: O20040220000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie L Wilborne, APRN 374 Grand Ave, Fair Haven Community Health Center, New Haven, CT 06513 Ph: (203) 777-7411 | Stephanie L Wilborne, APRN 85 Lafayette St, New Britain, CT 06051-1803 Ph: (860) 224-3642 |
Kevin Jimenez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5900 | |
Lisa Tiffany Simiola, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 73 Cedar St, New Britain, CT 06052 Phone: 860-224-5267 | |
Ms. Vittoria Cappuccia, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Lafayette St, New Britain, CT 06051 Phone: 860-224-3642 | |
Pramela Singson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Lafayette St, New Britain, CT 06051 Phone: 860-224-3642 | |
Mrs. Rosa Maria Kleinberg, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2150 Corbin Ave, New Britain, CT 06053 Phone: 860-223-2761 | |
Susan Dagostino, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Hart St, New Britain, CT 06052 Phone: 860-229-0100 Fax: 860-225-2647 | |
Dorothy Forsyth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Winthrop St, New Britain, CT 06052 Phone: 860-224-6968 |