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Individual

MRS. KATRINA DONNA SIVO-SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
330 WASHINGTON ST, NORWICH, CT 06360-2700
(860) 885-1308
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
8842
CT
363LF0000X
Family Nurse Practitioner
Primary
APRN01605
RI

Other

Enumeration date
06/07/2017
Last updated
06/26/2024
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