Individual
MS. KAREN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, 4TH FLOOR, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
65 KANE ST, PROVIDER ENROLLMENT, WEST HARTFORD, CT 06119-2110
(860) 523-6421
(860) 523-3701
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
004487
CT
363LF0000X
Family Nurse Practitioner
Primary
004487
CT
Other
Enumeration date
08/11/2010
Last updated
07/06/2012
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