Individual
CASEY AIVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5011
Mailing address
145 WHISTLING STRAITS DR, SOUTHINGTON, CT 06489-1189
(860) 729-7044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9038
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2020
Last updated
07/29/2020
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