Individual
CAROL ANN CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 DEERFIELD RD, WINDSOR, CT 06095-4252
(860) 714-9444
Mailing address
100 DEERFIELD RD, WINDSOR, CT 06095-4252
(860) 714-9444
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
155640NP
MA
Other
Enumeration date
01/21/2009
Last updated
12/27/2019
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