Individual
JEANETTE S GALVEZ-PISCIONIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
18 ARROWHEAD LN, SHELTON, CT 06484-2030
(203) 667-4678
Mailing address
18 ARROWHEAD LN, SHELTON, CT 06484-2030
(203) 667-4678
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
002985
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004241759
—
CT
Enumeration date
05/23/2005
Last updated
10/11/2013
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