Individual
TANYA THERIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
85 LAFAYETTE STREET, NEW BRITAIN, CT 06052
(860) 224-3642
Mailing address
575 MAIN ST FL 2, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457-2845
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
98997
CT
363LF0000X
Family Nurse Practitioner
Primary
005103
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
07/27/2012
Last updated
10/22/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us