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SAUNDRA THOMSON BIALOS APRN
Psychiatric/Mental Health >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1508996646
Individual Registrant: SAUNDRA THOMSON BIALOS APRN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
4 SAMSON ROCK DR MADISON, CT 06443-3005 US
Tel: 203-245-9439 Fax: 203-245-9439
Tel: 203-245-9439 Fax: 203-245-9439
Contact information for business:
282 OPENING HILL RD MADISON, CT 06443-1920 US
Tel: 203-245-9439 Fax: 203-245-9439
Tel: 203-245-9439 Fax: 203-245-9439
Registration Information:
NPI: 1508996646
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163WP0808X | Nursing Service Providers Registered Nurse Psychiatric/Mental Health | CT | 000777 |
| Y | 364SP0808X | Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist | CT | APRN000777 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
