Organization
PROFICIENT NURSE PRACTITIONERS PNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERESHITH ADAMS (MANAGER)
(860) 558-3720
Entity
Organization
Contact information
Practice address
24 PARK PL, HARTFORD, CT 06106-5008
(860) 558-3720
Mailing address
24 PARK PL, HARTFORD, CT 06106
(860) 558-3720
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/03/2015
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