Organization
ELIZABETH ALVE-HEDEGAARD APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ALVE-HEDEGAARD APRN (NURSE PRACTITIONER)
(203) 843-6940
Entity
Organization
Contact information
Practice address
10 N MAIN ST STE 204, WEST HARTFORD, CT 06107-1941
(203) 409-8655
Mailing address
32 BRIAN RD, WEST HARTFORD, CT 06110-2509
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
006104
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033596499
—
CT
Enumeration date
02/22/2018
Last updated
02/22/2018
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