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Individual

JOAN CORRADINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1216 FARMINGTON AVE, ROOM 102, WEST HARTFORD, CT 06107-2672
(860) 561-1007
(860) 561-1222
Mailing address
1216 FARMINGTON AVE, ROOM 102, WEST HARTFORD, CT 06107-2672
(860) 561-1007
(860) 561-1222

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
002269
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004262929
CT
Enumeration date
07/26/2006
Last updated
04/15/2010
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