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Individual

VIVIAN TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
323 CROMWELL AVE, ROCKY HILL, CT 06067-1801
(866) 389-2727
Mailing address
53 SOUTHWIND LN, MILFORD, CT 06460-7552
(203) 283-5983

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003352
CT

Other

Enumeration date
08/22/2006
Last updated
07/15/2010
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