Individual
MARY CATHERINE LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
628 HEBRON AVE, GLASTONBURY, CT 06033
(860) 494-4600
Mailing address
628 HEBRON AVE, GLASTONBURY, CT 06033
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
004359
CT
364SX0200X
Oncology Clinical Nurse Specialist
004359
CT
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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