Individual
KYLA MARIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
545 HARTFORD PIKE, DAYVILLE, CT 06241-2150
(860) 412-9190
Mailing address
14 HARRISON ST, PUTNAM, CT 06260-1226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8802
CT
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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