Individual
JOAN TELEMAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSN, RN,PMHNP-BC
Contact information
Practice address
16 ROBINSON ST, NEW LONDON, CT 06320-5425
(860) 235-8352
Mailing address
16 ROBINSON ST, NEW LONDON, CT 06320-5425
(860) 235-8352
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7989
CT
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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