Individual
MRS. DARCY ALLISON DORNBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 679-1953
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 679-1953
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704287168
MI
363L00000X
Nurse Practitioner
Primary
10670
CT
363L00000X
Nurse Practitioner
4704287168
MI
Other
Enumeration date
04/02/2015
Last updated
08/05/2022
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