Individual
MIRANDA R VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
15 CORPORATE DR, TRUMBULL, CT 06611-1351
(203) 452-8322
Mailing address
459 ROMANOCK ROAD, FAIRFIELD, CT 06825
(203) 292-3631
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002406
CT
Other
Enumeration date
08/22/2008
Last updated
07/25/2014
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