Individual
MARY ANN KOPREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 BRADLEY ST, BRISTOL, CT 06010-5103
(860) 584-8021
Mailing address
PO BOX 2828, BRISTOL, CT 06011-2828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8529
CT
Other
Enumeration date
10/12/2019
Last updated
05/27/2020
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