Individual
SUSAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 WESTERN BLVD, GLASTONBURY, CT 06033-1236
(860) 652-5070
Mailing address
290 WESTERN BLVD, GLASTONBURY, CT 06033-1236
(860) 652-3325
(860) 928-6367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
006094
CT
363LF0000X
Family Nurse Practitioner
6094
CT
Other
Enumeration date
06/22/2015
Last updated
12/15/2021
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