Individual
MRS. JEANNE BEDARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
346 POMFRET ST, PUTNAM, CT 06260-1871
(860) 928-0815
(860) 928-4514
Mailing address
PO BOX 591, PUTNAM, CT 06260-0591
(860) 928-0815
(860) 928-4514
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
001409
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00422950700
BLUECARE FAMILY PLAN
CT
01
—
014090
CONNECTICARE
CT
01
—
2V1736
HEALTHNET
CT
01
—
400001409CT01
ANTHEM BLUE CROSS
CT
Enumeration date
02/09/2006
Last updated
07/08/2007
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