Individual
DELORETTA THERESA ECKENRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
31 CHERRY ST STE 1, MILFORD, CT 06460-3465
(203) 874-7001
Mailing address
31 CHERRY ST STE 1, MILFORD, CT 06460-3465
(203) 874-7001
(203) 874-7002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F332927
NY
363LF0000X
Family Nurse Practitioner
Primary
3709
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001644
—
CT
Enumeration date
05/08/2006
Last updated
12/13/2024
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