Elizabeth Alve-hedegaard Aprn Llc | |
10 N Main St Ste 204 West Hartford CT 06107-1941 | |
(203) 409-8655 | |
Not Available |
Full Name | Elizabeth Alve-hedegaard Aprn Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 10 N Main St Ste 204, West Hartford, Connecticut |
Authorized Official Name and Position | Elizabeth Alve-hedegaard (NURSE PRACTITIONER) |
Authorized Official Contact | 2038436940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Alve-hedegaard Aprn Llc 32 Brian Rd West Hartford CT 06110-2509 Ph: () - | Elizabeth Alve-hedegaard Aprn Llc 10 N Main St Ste 204 West Hartford CT 06107-1941 Ph: (203) 409-8655 |
NPI Number | 1033610241 |
---|---|
Provider Enumeration Date | 02/22/2018 |
Last Update Date | 02/22/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033610241 | NPI | - | NPPES |
1033596499 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 006104 (Connecticut) | Primary |
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