Individual
MARIANNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-9000
Mailing address
72 APPLEWOOD LN, GLASTONBURY, CT 06033-3846
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
001697
CT
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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