Individual
MS. JULIA ANNE BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-7978
Mailing address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-7978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10603
CT
Other
Enumeration date
08/23/2017
Last updated
11/18/2022
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