Individual
CAITLIN BALLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 ELM ST STE 202B, MONROE, CT 06468
(203) 880-5335
Mailing address
62 ELM ST, SHELTON, CT 06484-6012
(203) 996-4257
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
10.100193
CT
363L00000X
Nurse Practitioner
12.007741
CT
363LF0000X
Family Nurse Practitioner
Primary
12.007741
CT
Other
Enumeration date
07/17/2018
Last updated
11/05/2018
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