Individual
ABBY ANN GLORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
54 REYNOLDS ST, DANIELSON, CT 06239-2917
(860) 774-7501
(860) 779-2191
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005182
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043568
—
CT
Enumeration date
10/15/2012
Last updated
01/31/2017
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