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Individual

ALIMATU A BUSARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
15 JOHNSON ST, MIDDLETOWN, CT 06457-2224
(860) 538-8031
Mailing address
15 JOHNSON ST, MIDDLETOWN, CT 06457-2224
(860) 538-8031

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
086227
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11157
CT

Other

Enumeration date
09/15/2022
Last updated
10/31/2022
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