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Individual

TABATHA BRODERICK HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2 OLD NEW MILFORD RD, SUITE 3D, BROOKFIELD, CT 06804
(203) 885-0910
Mailing address
2 OLD NEW MILFORD RD, SUITE 3D, BROOKFIELD, CT 06804
(203) 885-0910

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12343
CT

Other

Enumeration date
08/02/2023
Last updated
09/10/2024
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