Organization
DESTINATION GORGEOUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTTA SPROTT APRN (OWNER)
(203) 527-0273
Entity
Organization
Contact information
Practice address
678 CHASE PKWY LOWR LEVEL, WATERBURY, CT 06708-3050
(203) 527-0273
Mailing address
678 CHASE PKWY LOWR LEVEL, WATERBURY, CT 06708-3050
(203) 527-0273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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