Individual
MRS. KATHERINE ELIZABETH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 785-4629
(203) 785-3818
Mailing address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 785-4629
(203) 785-3818
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
002751
CT
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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