Individual
BEATRICE HOME VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 FOXON RD, EAST HAVEN, CT 06513-2038
(475) 441-7809
Mailing address
283 MOUNT FAIR DR, WATERTOWN, CT 06795-1657
(203) 224-9376
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
14017
CT
207Q00000X
Family Medicine Physician
14017
CT
208D00000X
General Practice Physician
14017
CT
363L00000X
Nurse Practitioner
Primary
14017
CT
Other
Enumeration date
01/09/2025
Last updated
01/20/2025
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