Individual
JULIA CHRISTOFORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
57 HARTFORD TPKE, VERNON, CT 06066-5286
(860) 645-1100
(860) 533-0041
Mailing address
57 HARTFORD TPKE, VERNON, CT 06066-5286
(860) 645-1100
(860) 533-0041
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
004151
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061496224
TAX ID
CT
Enumeration date
09/14/2009
Last updated
09/12/2011
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