Individual
CRISTINA MARIE VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 GERMANTOWN RD, DANBURY, CT 06810-5036
(203) 794-5620
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11693
CT
363LF0000X
Family Nurse Practitioner
F344910
NY
Other
Enumeration date
11/11/2019
Last updated
03/13/2023
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