Individual
ANASTASIA TETERICHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-2100
(860) 679-4815
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-2100
(860) 679-4815
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
007267
CT
Other
Enumeration date
04/12/2017
Last updated
07/04/2018
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