Individual
CARLY ANN KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-5000
Mailing address
101 PAGE STREET, LONGMEADOW, MA 01106-1420
(413) 636-7798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
100497
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
100497
CT
Other
Enumeration date
04/07/2020
Last updated
10/24/2022
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