Individual
ASHLEY ANTONUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP- FNP
Contact information
Practice address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 688-8800
Mailing address
2660 MAIN ST, STE 219, BRIDGEPORT, CT 06606-5301
(203) 231-9843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8420
CT
Other
Enumeration date
08/22/2019
Last updated
04/06/2020
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