Individual
MISS DEANETT CORAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
170 GRANDVIEW AVE, WATERBURY, CT 06708-2525
(203) 759-3666
(203) 759-3671
Mailing address
246 SPRING LAKE RD, WATERBURY, CT 06706-2738
(407) 227-1903
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10398
CT
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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