Individual
MS. TRACEY URSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1 ABRAHMS BLVD, WEST HARTFORD, CT 06117-1508
(860) 523-3800
(860) 523-3949
Mailing address
56 LOVELY ST, AVON, CT 06001-3138
(860) 673-6803
(860) 255-7178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
095127
CT
363L00000X
Nurse Practitioner
Primary
005399
CT
363LA2100X
Acute Care Nurse Practitioner
005399
CT
Other
Enumeration date
12/04/2013
Last updated
12/05/2013
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