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Individual

MS. KATHARINE NICOLE VARDANIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-BC

Contact information

Practice address
1 ROYCE CIR STE 104, STORRS, CT 06268-2270
(860) 487-9200
(860) 487-9222
Mailing address
1 ROYCE CIR STE 104, STORRS, CT 06268-2270
(860) 487-9200
(860) 487-9222

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
001111
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004025144
CT
01
500000608
AMA #
CT
Enumeration date
07/07/2006
Last updated
01/07/2025
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