Individual
MEREDITH JOYCE BERTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8082
(860) 651-3519
(860) 651-4133
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8082
(860) 651-3519
(860) 651-4133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
109129
CT
363L00000X
Nurse Practitioner
Primary
7222
CT
Other
Enumeration date
07/09/2017
Last updated
10/29/2018
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