Individual
BRENDA CAROLINA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR ST, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4670
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 972-9047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
005098
CT
363LA2100X
Acute Care Nurse Practitioner
005098
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004050985
—
CT
Enumeration date
08/21/2012
Last updated
09/10/2014
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