Theriault, Tanya

Theriault, Tanya is an individual health care provider with primary practice located at 85 Lafayette Street , New Britain CT 06052. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Theriault, Tanya can be contacted via phone (860) 224-3642.

Contact Information

Primary practice address
85 Lafayette Street New Britain CT 06052
Phone: (860) 224-3642
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 98997 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 005103 Connecticut

Profile Details

NPI number 1851647820
LBN Legal business name Theriault, Tanya
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2012
Last updated Oct 22nd, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851647820 NPPES
Connecticut MEDICAID 004236346

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