Whalio Doctors

NPI 1073942546

Nicole Fearon, APRN

Practitioner Family Nurse Practitioner Glastonbury, CT

Practice location

Address
2639 Main St, Glastonbury, CT 06033-2023
Phone
(860) 659-1329
Mailing address
99 Beaman Brk, Bloomfield, CT 06002-4005

Registered specialties

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 005480 (CT)

Registry record

NPI
1073942546
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Nov 2013
Record last updated
5 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.