Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abby M Theriaque, APRN

Individual provider Pediatric Nurse Practitioner · NPI 1457630295

Abby M Theriaque, APRN is a Nurse Practitioner in Hartford, Connecticut. Graduated from State University of New York at Stony Brook, School of Medicine in 2011, 15 years ago. Practices with Connecticut Children's Specialty Group, Inc, a 144-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
15
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CT
In the registry since
2011
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

282 Washington St
Hartford, CT 06106-3322
Phone: (860) 545-9520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 004723 (CT)

Record details

NPI number1457630295
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 10, 2011
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Connecticut Children'S Specialty Group, Inc — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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