Individual
MS. MAURA JANE D'ANDREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
19 OZONE RD, BRANFORD, CT 06405-5509
(203) 488-4301
Mailing address
19 OZONE RD, BRANFORD, CT 06405-5509
(203) 488-4301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
001935
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001935
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003894734
—
CT
Enumeration date
01/03/2006
Last updated
07/08/2013
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