Individual
JULIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-5000
Mailing address
7 MANOR LN, SOUTH WINDSOR, CT 06074-3214
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7380
CT
Other
Enumeration date
01/14/2018
Last updated
01/14/2018
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