Provider Demographics
NPI:1982427928
Name:POLLARD, TREMANDA (AGNP-BC)
Entity type:Individual
Prefix:
First Name:TREMANDA
Middle Name:
Last Name:POLLARD
Suffix:
Gender:F
Credentials:AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 MIX AVE APT 1L
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2359
Mailing Address - Country:US
Mailing Address - Phone:347-933-8827
Mailing Address - Fax:
Practice Address - Street 1:20 COMMERCE PARK # 20B-1
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3511
Practice Address - Country:US
Practice Address - Phone:203-951-8360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT14133363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology