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Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Neonatal, Critical Care

Provider NPI: 1225268105

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 860-545-8950  Fax: 860-545-8945

Business Mailing Address:
Tel: 860-545-8950  Fax: 860-545-8945

NPI Information:
NPI: 1225268105
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y363LN0005XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Neonatal, Critical Care

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 363LN0005X





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