Provider Demographics
NPI:1285025817
Name:BARBARA PASCAL-GLADSTONE APRN, LLC
Entity Type:Organization
Organization Name:BARBARA PASCAL-GLADSTONE APRN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PASCAL-GLADSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-490-7689
Mailing Address - Street 1:27 HARTFORD TPKE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-5245
Mailing Address - Country:US
Mailing Address - Phone:860-490-7689
Mailing Address - Fax:860-533-1682
Practice Address - Street 1:27 HARTFORD TPKE
Practice Address - Street 2:SUITE 204
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5245
Practice Address - Country:US
Practice Address - Phone:860-490-7689
Practice Address - Fax:860-533-1682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001514364SP0807X, 364SP0809X, 364SP0810X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentGroup - Multi-Specialty
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Multi-Specialty
No364SP0810XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & FamilyGroup - Multi-Specialty