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Individual

ANDREA BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
211 POMEROY AVE APT 2201, MERIDEN, CT 06450-1766
(203) 710-4582
Mailing address
211 POMEROY AVE APT 2201, MERIDEN, CT 06450-1766
(203) 710-4582

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E52783
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1060425
LICENSE
CT
01
5425205
CRD
CT
Enumeration date
05/06/2020
Last updated
05/06/2020
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