Individual
MRS. OLIVIA BELL CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
6 EDMOND RD, GRISWOLD, CT 06351-1511
(860) 949-2291
Mailing address
6 EDMOND RD, GRISWOLD, CT 06351-1511
(860) 949-2291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9399
CT
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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