Individual
BLISS DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
80 SEYMOUR STREET, CARDIOLOGY DEPARTMENT, HARTFORD, CT 06102-8000
(860) 972-9495
Mailing address
80 SEYMOUR STREET, CVO-PROVIDER ENROLLMENT, HARTFORD, CT 06102-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102276
CT
363L00000X
Nurse Practitioner
7739
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
7739
CT
Other
Enumeration date
07/24/2018
Last updated
11/09/2018
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