Individual
ANNA LIZA ABASTILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
360 14 N MAIN ST, SOUTHINGTON, CT 06489
(860) 621-6759
(860) 621-0117
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(605) 188-8008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002935
CT
363LF0000X
Family Nurse Practitioner
Primary
002935
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004241030
—
CT
Enumeration date
12/11/2006
Last updated
02/01/2021
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