Individual
CASSANDRA TETRAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1057 BOSTON POST RD STE 2, GUILFORD, CT 06437-2672
(866) 389-2727
Mailing address
1057 BOSTON POST RD, GUILFORD, CT 06437-2644
(413) 218-9830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.010014
CT
363LF0000X
Family Nurse Practitioner
RN2288853
MA
Other
Enumeration date
10/13/2020
Last updated
10/21/2021
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