Individual
SUSAN B TABOADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL NEUROLOGY DEPT, HARTFORD, CT 06102-5037
(860) 972-3621
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06102-5037
(860) 972-9047
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
004240
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4240
LICENSE
CT
Enumeration date
10/26/2009
Last updated
09/03/2014
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