National Provider Identifier Database

GRETCHEN EDSTROM, RN, CDE – NPI #1497156855
Diabetes Educator


Contact Information

GRETCHEN EDSTROM, RN, CDE
194 HOWARD ST
NEW LONDON, CT06320-5544
Phone: 860-444-3366
Fax: 860-444-3394
Website:
Specialty Taxonomy Code
* Diabetes Educator 163WD0400X

* Indicates primary specialty

NPI Profile & details for GRETCHEN EDSTROM

NPI Number 1497156855
Credentials RN, CDE
Entity Individual
Enumeration date 09/04/2014
Last updated 09/04/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 10.R49980
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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