Individual
MS. JEAN ELIZABETH ENDERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
270 FARMINGTON AVE, #309, FARMINGTON, CT 06032-1909
(860) 677-5570
(860) 677-9570
Mailing address
270 FARMINGTON AVE, #309, FARMINGTON, CT 06032-1909
(860) 677-5570
(860) 677-9570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
001303
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001303
CT
Other
Enumeration date
07/31/2006
Last updated
12/19/2013
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