Individual
GEORGIANNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1789 NOBLE AVE, BRIDGEPORT, CT 06610-1629
(203) 727-5902
Mailing address
1789 NOBLE AVE, BRIDGEPORT, CT 06610-1629
(203) 727-5902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
182328
CT
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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