Individual
KRISTAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
490 BLUE HILLS AVE, HARTFORD, CT 06112
(860) 714-2647
Mailing address
490 BLUE HILLS AVE, HARTFORD, CT 06112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12.006606
CT
Other
Enumeration date
07/28/2016
Last updated
06/30/2017
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