Individual
IVELIZ ORAMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 CENTRAL AVE, BRIDGEPORT, CT 06607-1705
(203) 332-4567
(203) 332-4568
Mailing address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-6864
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4329
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4329
STATE LICENSE
CT
Enumeration date
02/25/2010
Last updated
02/25/2010
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