Individual
DARA MANNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 STEELE RD, WEST HARTFORD, CT 06117-2716
(860) 570-8200
Mailing address
2 OLD FARMS RD, WEST SUFFIELD, CT 06093-2829
(860) 670-7067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143291
CT
363L00000X
Nurse Practitioner
Primary
12198
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2021
Last updated
08/06/2023
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