Individual
EILEEN M CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Mailing address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
086024
CT
363LF0000X
Family Nurse Practitioner
Primary
005100
CT
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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