Individual
NICOLE HANBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
413 TOWN COLONY DR, MIDDLETOWN, CT 06457-5909
(203) 215-4870
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3215
CT
Other
Enumeration date
10/15/2014
Last updated
04/28/2015
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