ANDREA LYNN DELAIRE (NPI# 1669082830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669082830 |
| Entity Type | Individual |
| Full Name | ANDREA LYNN DELAIRE |
| Credential | APRN |
| Practice Address |
921 Boston Tpke Bolton CT 06043-7479 |
| Practice Telephone | 8606460649 |
| Mailing Telephone | 8606460649 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
8892 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
921 BOSTON TPKE |
| City | BOLTON |
| State | CT |
| Zip Code | 06043-7479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871561092 | Ronald L Buckman | Family Medicine | 921 Boston Tpke, Bolton, CT 06043-7403 | 2006-03-14 |
| 1992132161 | Family Medicine Partership | Nurse Practitioner | 921 Boston Tpke, Ste A, Bolton, CT 06043-7403 | 2013-10-03 |
| 1104920065 | Piper P Lillard | Family Medicine | 921 Boston Tpke, Suite 2, Bolton, CT 06043-7403 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508068313 | Randy H Lichtman | Dentist | 921 Boston Tpke., Bolton, CT 06043 | 2007-06-04 |
| 1881748739 | Ginger M Pollack Dmd PC | Dentist | 665 Boston Turnpike, Bolton, CT 06043 | 2007-01-22 |
| 1992888531 | Bruce Alan Langevin | Physical Therapist | 921 Boston Turnpike, Bolton, CT 06043 | 2006-10-24 |
| 1215036785 | Sandra Sherri Butler | Social Worker | 11 Rocco Rd, Bolton, CT 06043 | 2006-09-21 |
| 1265650188 | Bolton Physical Therapy & Sports Performance LLC | Clinic/Center | 921 Boston Turnpike, Bolton, CT 06043 | 2007-04-23 |
| 1306995725 | Family Medicine Partnership, PC | Nurse Practitioner | 921 Boston Turnpike, Bolton, CT 06043 | 2007-01-09 |
| 1710251798 | Ginger Michelle Pollack | Dentist | 665 Boston Tpke, Bolton, CT 06043-7401 | 2012-03-08 |
| 1780781070 | Bolton Pharmacy Inc | Pharmacy | 667 Boston Tpke, Bolton, CT 06043-7401 | 2006-09-20 |
| 1487039608 | Sarah Zalewski | Counselor | 1020 Boston Tpke, Bolton, CT 06043-7406 | 2015-07-29 |
| 1427194539 | Bolton Board of Education | Local Education Agency (LEA) | 108 Notch Rd, Bolton, CT 06043-7431 | 2007-01-29 |
| Find all providers in zip 06043 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161170 | Lisa B Stein | Nurse Practitioner | 861 Brooklawn Ave, Fairfield, CT 06825-1809 | 2020-10-15 |
| 1194322800 | Constantin Razvan Popescu | Nurse Practitioner | 46 Summer View Dr, Monroe, CT 06468-2001 | 2020-10-06 |
| 1538785902 | Lms Health LLC | Nurse Practitioner | 2001 W Main St Ste 244, Stamford, CT 06902-4544 | 2020-06-22 |
| 1760001010 | Mobile Care Partners of Connecticut Pllc | Nurse Practitioner | 44 Luzi Dr Apt 960, Bantam, CT 06750-1619 | 2020-04-15 |
| 1740811454 | Melissa Jennifer Mokel | Nurse Practitioner | 122 Cornerstone Dr, South Windsor, CT 06074-6303 | 2020-01-31 |
| 1861037533 | Olga Poznyur | Nurse Practitioner | 19 Woodland St Ste 21, Hartford, CT 06105-2372 | 2019-11-16 |
| 1356996904 | Virginia Tran | Nurse Practitioner | 39 Maple Tree Ave Unit 34, Stamford, CT 06906-2273 | 2019-08-09 |
| 1336705839 | Rose-ann Cashema Richards | Nurse Practitioner | 34 Heather Ln, Manchester, CT 06040-6903 | 2019-05-10 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1427549088 | Kelly Elizabeth Sullivan | Nurse Practitioner | 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 | 2018-05-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.