Individual
GRETCHEN EDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
194 HOWARD ST, NEW LONDON, CT 06320-5544
(860) 444-3366
(860) 444-3394
Mailing address
23 PAULA LN, WATERFORD, CT 06385-1521
(860) 608-0559
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
10.R49980
CT
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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