Individual
NANCY J DALRYMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
85 LAFAYETTE STREET, NEW BRITAIN, CT 06051
(860) 224-3642
(860) 224-2760
Mailing address
17 LACEY RD, SOUTHINGTON, CT 06489-3711
(206) 579-4945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
097354
CT
163WC1500X
Community Health Registered Nurse
RN00174711
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
004572
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
01
—
50-1839
MEDICARE FQHC
WA
05
—
7407703
—
WA
Enumeration date
09/03/2008
Last updated
11/07/2012
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