Elise Mae Fernstrom
Elise Mae Fernstrom is a Nurse Practitioner in Norwich, Connecticut. Qualified in 2024, 2 years ago. Practices with Harvest Healthcare LLC, a 70-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 2
- Licensed in
- CT
- In the registry since
- 2025
Practice location Address checks out
401 W Thames St Bldg 301Norwich, CT 06360-7155
Phone: (860) 859-4563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 14409 (CT) |
|---|
Record details
| NPI number | 1083411904 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 27, 2025 |
| Last updated in NPPES | February 27, 2025 |
| Certification date | February 27, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Harvest Healthcare Llc — 70 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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