MARY JEAN WALKER (NPI# 1669571428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669571428 |
Entity Type | Individual |
Full Name | MARY JEAN WALKER |
Credential | APRN |
Practice Address |
300 Western Boulevard Glastonbury CT 06033 |
Mailing Address |
300 Western Blvd Glastonbury CT 06033-4305 |
Practice Telephone | 8605470306 |
Practice Fax Number | 8605259782 |
Mailing Telephone | 8605259767 |
Mailing Fax Number | 8605259782 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2011-11-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
000442 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004208139 | 05 |
Street Address |
300 WESTERN BOULEVARD |
City | GLASTONBURY |
State | CT |
Zip Code | 06033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
Find all providers in zip 06033 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548655038 | Tania Richard | Nurse Practitioner | 17 Eastwood Rd, Groton, CT 06340-6010 | 2015-04-01 |
1710230842 | Lenore Ann Leone | Nurse Practitioner | 500 Old Farms Rd, Avon, CT 06001-2716 | 2012-10-26 |
1992802037 | Adele Silhavy | Nurse Practitioner | 1000 Asylum Ave Rm 1026, Hartford, CT 06105-1701 | 2006-09-20 |
1902912827 | Elizabeth Jensen | Nurse Practitioner | 120 Simsbury Rd Ste B, Avon, CT 06001-3735 | 2006-08-22 |
1578590485 | Jean E. Mackay | Nurse Practitioner | 67 Hickory Hill Road, Simsbury, CT 06070 | 2006-06-27 |
1083687057 | Jeanne Bedard | Nurse Practitioner | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-02-09 |
1710963483 | Karen Marie Wunderlich | Nurse Practitioner | 120 Park Lane Rd Ste B202, New Milford, CT 06776-2450 | 2005-12-15 |
1467628016 | Jean D Vulte | Nurse Practitioner | 33 Bullet Hill Rd., Bullet Hill Park, Suite 214, Southbury, CT 06488-4699 | 2008-05-05 |
1477766202 | Timothy M Barczak Md LLC | Nurse Practitioner | 345 Montauk Ave, New London, CT 06320-4738 | 2007-05-08 |
1326166513 | Jean Carol Ohliger | Nurse Practitioner | 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 | 2007-03-26 |
Find all providers with the same taxonomy |
City | GLASTONBURY |
Zip Code | 06033 |
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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.