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PENNY MONTY-CARBONARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Mailing address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5861
CT
363LS0200X
School Nurse Practitioner
5861
CT

Other

Enumeration date
08/14/2014
Last updated
09/11/2014
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