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Contact Information

ANASTASIA TETERICHKO
263 FARMINGTON AVENUE
FARMINGTON, CT06030
 Phone: 860-679-2100
 Fax: 860-679-4815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for ANASTASIA TETERICHKO · (Female)

NPI # 1942734314
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2017
Last updated 07/04/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 007267
Hospital affiliation(s)
  • JOHN DEMPSEY HOSPITAL - (Acute Care)
    263 FARMINGTON AVE
    FARMINGTON, CT 06032
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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