Individual
RENEE PAVLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 972-0000
Mailing address
PO BOX 41933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 972-9047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005792
CT
363LF0000X
Family Nurse Practitioner
Primary
005792
CT
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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