Active NPIIndividual providerSole proprietor

Cassandra Tetrault

Nurse Practitioner, Family in Guilford, Connecticut

NPI Number1033717996
Practice location
1057 Boston Post RD Ste 2, Guilford, CT 06437-2672
Fax
—
Last updated
October 21, 2021

Cassandra Tetrault is a Nurse Practitioner, Family based in Guilford, CT. Cassandra Tetrault practices in Guilford, CT. The NPI Number for Cassandra Tetrault is 1033717996 and holds a License No. RN2288853 (MA). The current practice location address for Cassandra Tetrault is 1057 Boston Post RD Ste 2, Guilford, CT 06437-2672 and can be reached out via phone at 866-389-2727.

Provider Profile Details

NPI Number
1033717996
Provider Name
Cassandra Tetrault
Provider Entity Type
Individual
Gender
Female
Address
1057 Boston Post RD Ste 2, Guilford, CT 06437-2672
Phone Number
866-389-2727
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2020
Last Update Date
October 21, 2021
Certification Date
October 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1057 Boston Post RD Ste 2
Guilford, CT 06437-2672
Zip
06437-2672
Phone Number
866-389-2727
Guilford, CT 06437Get directions →

Provider Business Mailing Address Details

Address
1057 Boston Post RD
Guilford, CT 06437-2644
City
Guilford
State
CT
Zip
06437-2644
Phone Number
413-218-9830

License Information

License Number (1)
RN2288853
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
12.010014
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cassandra Tetrault?

The NPI number of Cassandra Tetrault is 1033717996. It was assigned on October 13, 2020 and is currently active in the NPPES registry.

What is the specialty of Cassandra Tetrault?

Cassandra Tetrault is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2288853.

Where does Cassandra Tetrault practice?

The practice location is 1057 Boston Post RD Ste 2, Guilford, CT 06437-2672. The office can be reached at 866-389-2727 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033717996 directly on the NPPES registry website.

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