Individual
DENISE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
134 GRANDVIEW AVE, SUITE 210, WATERBURY, CT 06708-2507
(203) 754-2535
(203) 756-9921
Mailing address
134 GRANDVIEW AVE, SUITE 210, WATERBURY, CT 06708-2507
(203) 754-2535
(203) 756-9921
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
001663
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004169670
—
CT
Enumeration date
05/27/2006
Last updated
07/08/2007
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