Individual
DIANE MEAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
309 SEASIDE AVE, SUITE201, MILFORD, CT 06460-4625
(203) 783-1831
Mailing address
204 HYLAND TER, ORANGE, CT 06477-1106
(203) 795-3430
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000603
CT
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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