Individual
MS. SUSAN MARY DEGENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
131 COVENTRY ST, HARTFORD, CT 06112-1548
(860) 543-8820
Mailing address
35 STEPHANIE LN, SOUTH WINDSOR, CT 06074-1821
(860) 547-1426
(860) 722-6718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
001180
CT
Other
Enumeration date
04/03/2007
Last updated
07/11/2007
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