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ANDREA J BARTELS APRN
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1336230630
Individual Registrant: ANDREA J BARTELS APRN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
350 MONTAUK AVE NEW LONDON, CT 06320-4730 US
Tel: 860-443-1891 Fax: 860-443-2980
Tel: 860-443-1891 Fax: 860-443-2980
Contact information for business:
350 MONTAUK AVE NEW LONDON, CT 06320-4730 US
Tel: 860-443-1891 Fax: 860-443-2980
Tel: 860-443-1891 Fax: 860-443-2980
Registration Information:
NPI: 1336230630
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CT | 003504 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 004266038 | CT | 05 | |
| LICENSE | 003504 | CT | 01 |
