Individual
EDDIELIZA CASIONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
97 FARNHAM RD, SOUTH WINDSOR, CT 06074-1115
(860) 990-8409
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9581
CT
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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