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Individual

MRS. ALICIA M NOONAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
75 EASTERN POINT RD, DEPT 644 BLDG 78A, GROTON, CT 06340-4905
(860) 433-9390
(860) 433-7802
Mailing address
32 PEACHVALE DR, UNCASVILLE, CT 06382-2234
(860) 822-5585

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
076404
CT
363L00000X
Nurse Practitioner
4387
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
4387
CT

Other

Enumeration date
06/20/2010
Last updated
04/16/2019
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