GRETCHEN EDSTROM RN CDE NPI 1497156855

NPI Information

  • NPI: 1497156855
  • Provider Name: GRETCHEN EDSTROM, RN, CDE
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: 194 HOWARD ST
    NEW LONDON, CT
    ZIP 06320
  • Phone: (860) 444-3366

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NPI Details

Gretchen Edstrom, RN, CDE is a diabetes educator registered nurse in New London, CT. Gretchen Edstrom, RN, CDE NPI is 1497156855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

194 HOWARD ST
NEW LONDON, CT
ZIP 06320-544
Phone: (860) 444-3366
Fax: (860) 444-3394

The enumeration date for this NPI number is 9/4/2014 and was last updated on 9/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WD0400XRegistered NurseDiabetes Educator10.R49980CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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