Individual
NEIL BIDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
433 HOWELLTON RD, ORANGE, CT 06477-2624
(203) 500-7342
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R50514
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
9314
CT
363LA2200X
Adult Health Nurse Practitioner
9314
CT
363LG0600X
Gerontology Nurse Practitioner
9314
CT
Other
Enumeration date
09/18/2020
Last updated
04/01/2021
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