Individual
TAANIEL KIIDLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
80 SEYMOUR STREET SOUTH 502, HARTFORD, CT 06102-5037
(860) 972-0549
Mailing address
1290 SILAS DEANE HWY, HHC-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
12.012424
CT
Other
Enumeration date
06/26/2023
Last updated
10/04/2023
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