Individual
TEREA WOOSTER GUIMARAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
81 MAIN ST UNIT 45, BRANFORD, CT 06405-3550
(203) 809-6155
Mailing address
81 MAIN ST UNIT 45, BRANFORD, CT 06405-3550
(203) 809-6155
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
004537
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
004537
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396045712
—
CT
Enumeration date
11/02/2010
Last updated
03/12/2019
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