Provider Demographics
NPI:1700106176
Name:GAER, MARIA G (APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:G
Last Name:GAER
Suffix:
Gender:F
Credentials:APRN-BC
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Mailing Address - Street 1:152 SIMSBURY RD
Mailing Address - Street 2:BLDG 9; FL 2
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3777
Mailing Address - Country:US
Mailing Address - Phone:860-269-3101
Mailing Address - Fax:860-269-3102
Practice Address - Street 1:152 SIMSBURY RD
Practice Address - Street 2:BLDG 9; FL 2
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3777
Practice Address - Country:US
Practice Address - Phone:860-269-3101
Practice Address - Fax:860-269-3102
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT004375363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004375OtherSTATE LICENSE