Spollett, Geralyn R

Spollett, Geralyn R is an individual health care provider with primary practice located at 789 Howard Ave Dana Building, 3Rd Fl, New Haven CT 06519-1304. 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. Spollett, Geralyn R can be contacted via phone (203) 737-1932.

Contact Information

Primary practice address
789 Howard Ave Dana Building, 3Rd Fl New Haven CT 06519-1304
Phone: (203) 737-1932
Fax: (203) 785-3588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 000712 Connecticut

Profile Details

NPI number 1265416556
LBN Legal business name Spollett, Geralyn R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Apr 6th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265416556 NPPES
Connecticut MEDICAID 004212049

Popular Providers