Individual
TERANCE A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
78 W EASTON ST, HAMDEN, CT 06514-5021
(203) 687-2084
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
8152
CT
Other
Enumeration date
04/16/2019
Last updated
10/22/2019
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