Provider Demographics
NPI:1942274451
Name:TELFER, MICHELLE L (CNM)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:TELFER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 WOODLAWN ST
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06517-1341
Mailing Address - Country:US
Mailing Address - Phone:203-745-3597
Mailing Address - Fax:
Practice Address - Street 1:100 CHURCH ST S
Practice Address - Street 2:RM 242
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1703
Practice Address - Country:US
Practice Address - Phone:203-737-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001083367A00000X
CT000307367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT400000307CT01OtherANTHEM BLUE CROSS & BLUE SHEILD OF CT
CT030703OtherCONNECTICARE
CT2V8153OtherHEALTHNET
CTP3818907OtherOXFORD HEALTH PLANS
CT4200000274OtherMEDICARE
CT2549192OtherUNITED HEALTH CARE