Individual
KATHLEEN EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
620 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-2156
(860) 892-8012
(860) 892-8027
Mailing address
432 THREE CORNERS RD, GUILFORD, CT 06437-2531
(860) 798-5040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
009880
CT
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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