D'Errico, Teresa L

D'Errico, Teresa L is an individual health care provider with primary practice located at 234A Bank St , New London CT 06320-6054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. D'Errico, Teresa L can be contacted via phone (860) 442-0290.

Contact Information

Primary practice address
234A Bank St New London CT 06320-6054
Fax: (860) 442-2136
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 002558 Connecticut

Profile Details

NPI number 1356384556
LBN Legal business name D'Errico, Teresa L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356384556 NPPES
Connecticut Other P00158488 RR MEDICARE
Connecticut Other 400002558CT01 RR MEDICARE
Connecticut Other 2V1213 RR MEDICARE
Connecticut MEDICAID 004223137 RR MEDICARE

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