Individual
TASHANA PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 SEABURY DR, BLOOMFIELD, CT 06002-5618
(860) 243-6099
Mailing address
200 SEABURY DR, BLOOMFIELD, CT 06002-5618
(860) 243-6099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10.172832
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75383
CCN
CT
Enumeration date
11/11/2021
Last updated
11/11/2021
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