Individual
NANCY D BACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, UCONN MEDICAL GROUP/CANCER CENTER, FARMINGTON, CT 06030-0001
(860) 679-2100
(860) 679-4815
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002329
CT
364SX0200X
Oncology Clinical Nurse Specialist
002329
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4224648
—
CT
Enumeration date
09/15/2006
Last updated
07/11/2022
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