Individual
ALICIA RAINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RETREAT AVE STE 900, HARTFORD, CT 06106-2553
(860) 334-1782
Mailing address
193 TYLER AVE, GROTON, CT 06340-5931
(860) 334-1782
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
39469
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2023
Last updated
06/30/2023
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