Individual
THERESA CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 PERSHING DR # 36, ANSONIA, CT 06401-2214
(612) 225-1534
Mailing address
24 PERSHING DR # 36, ANSONIA, CT 06401-2214
(612) 225-1534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003909
CT
Other
Enumeration date
10/30/2008
Last updated
01/18/2017
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