Individual
EVELYN W. GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
4 HAZEL AVE, GLENDALE CENTER, NAUGATUCK, CT 06770-4706
(203) 723-1456
(203) 723-0242
Mailing address
166 RIDGE RD, MIDDLETOWN, CT 06457-4433
(860) 347-7114
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
001411
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004188654
—
CT
Enumeration date
02/20/2006
Last updated
07/08/2007
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