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Individual

MRS. PATRICIA BOUWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,MS,FNP

Contact information

Practice address
290 WESTERN BLVD, GLASTONBURY, CT 06033-1236
(860) 652-3325
(860) 625-3330
Mailing address
76 SPOONVILLE ROAD, EAST GRANBY, CT 06260
(860) 651-0344

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000983
CT
363LP0200X
Pediatric Nurse Practitioner
000983
CT

Other

Enumeration date
05/20/2008
Last updated
08/05/2024
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