Individual
AGATHA GILIBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
326 MAIN STREET, SOUTHINGTON, CT 06489
(860) 621-1996
Mailing address
29 EDGEWOOD RD, BERLIN, CT 06037-3416
(860) 357-2401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.007120
CT
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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