Individual
MARIANA NEGRILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1747 SUMMER ST, STAMFORD, CT 06905-5144
(917) 270-9812
Mailing address
1747 SUMMER ST, STAMFORD, CT 06905-5144
(917) 270-9812
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
306350
NY
363LG0600X
Gerontology Nurse Practitioner
340879
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
7268
CT
Other
Enumeration date
03/13/2013
Last updated
08/03/2021
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