Individual
DIANA MARIE SIDLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(203) 699-8410
Mailing address
46 AMHERST STREET, WETHERSFIELD, CT 06109
(203) 530-4218
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
002587
CT
Other
Enumeration date
01/18/2007
Last updated
02/07/2014
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