Individual
NICHOLAS DESORBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
12.007374
CT
363LF0000X
Family Nurse Practitioner
12.007374
CT
Other
Enumeration date
08/15/2017
Last updated
05/22/2026
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