Individual provider · Type 1 NPI

Gretchen Edstrom, RN, CDE

Diabetes Educator Registered Nurse · New London, CT

NPI number 1497156855 Active

Practice location

194 Howard St
New London, CT 06320-5544

Fax (860) 444-3394

Mailing address

23 Paula Ln
Waterford, CT 06385-1521

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse Primary 163WD0400X10.R49980 (CT)

Diabetes Educator Registered Nurse: Definition to come...

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About NPI 1497156855

Gretchen Edstrom, RN, CDE's National Provider Identifier is 1497156855, issued on Sep 4, 2014. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in New London, CT. The record was last updated on Sep 4, 2014.