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Individual

MS. VICTORIA ANN WASSERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA, APRN

Contact information

Practice address
345 N MAIN ST, SUITE 103, WEST HARTFORD, CT 06117-2515
(860) 231-1111
Mailing address
345 N MAIN ST, SUITE 103, WEST HARTFORD, CT 06117-2515
(860) 231-1111

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E47444
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
000417
CT
367500000X
Certified Registered Nurse Anesthetist
244551
MA

Other

Enumeration date
08/02/2006
Last updated
10/24/2009
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