Individual
BRENDA J GANSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
112 QUARRY RD, SUITE 220, TRUMBULL, CT 06611-4816
(203) 374-6162
(203) 374-1459
Mailing address
112 QUARRY RD, SUITE 220, TRUMBULL, CT 06611-4816
(203) 374-6162
(203) 374-1459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002193
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004223070
—
CT
Enumeration date
05/26/2006
Last updated
01/15/2014
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