Individual
AISLINN ANNE MACMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
324 FLANDERS RD, EAST LYME, CT 06333-1735
(860) 739-6953
Mailing address
30 OLD MOUNT TOM RD, BANTAM, CT 06750-1300
(860) 387-3273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13525
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2024
Last updated
10/21/2024
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