Individual
ROSLYN FORDE-TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 KNOLLWOOD DR, WOLCOTT, CT 06716-2854
(203) 768-5072
Mailing address
101 KNOLLWOOD DR, WOLCOTT, CT 06716-2854
(203) 768-5072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0000000000
CT
Other
Enumeration date
07/26/2021
Last updated
08/04/2021
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