Individual
ALICIA S WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CPNP
Contact information
Practice address
92 NEW LONDON TURNPIKE, NORWICH, CT 06360
(860) 889-3401
(860) 823-1782
Mailing address
92 NEW LONDON TURNPIKE, NORWICH, CT 06360
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002631
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026310
CONNECTICARE
—
01
—
230002361CT01
BLUECARE FAMILY PLAN
—
01
—
2V6241
HEALTHNET
—
01
—
400002631CT01
ANTHEM BLUE CROSS
—
01
—
P3599013
OXFORD UNITED HEALTHCARE
—
Enumeration date
09/29/2006
Last updated
07/08/2007
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