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Individual

TERESA L D'ERRICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
234A BANK ST, NEW LONDON, CT 06320-6054
(860) 442-0290
(860) 442-2136
Mailing address
234A BANK ST, NEW LONDON, CT 06320-6054
(860) 442-0290
(860) 442-2136

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002558
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004223137
CT
01
2V1213
HEALTH NET
CT
01
400002558CT01
BLUE CROSS
CT
01
P00158488
RR MEDICARE
CT
Enumeration date
06/14/2006
Last updated
03/08/2011
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