Individual
NANCY DEVANNA-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
893 MAIN ST, EAST HARTFORD FAMILY MEDICINE SUITE 101, EAST HARTFORD, CT 06108-2292
(860) 528-2138
Mailing address
5 JOYCE LN, SIMSBURY, CT 06070-2900
(860) 651-3938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000233
CT
Other
Enumeration date
12/29/2006
Last updated
09/24/2010
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