Individual
DANIELLA ASHLEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
74 MACK ST STE 4, WINDSOR, CT 06095-2759
(860) 298-8830
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12490
CT
Other
Enumeration date
09/07/2023
Last updated
01/07/2024
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