Individual
TINA LOARTE-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CIC, CPPS
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Mailing address
44 CLOOS RD, BRISTOL, CT 06010-8002
(917) 532-8536
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
77815
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77815
—
CT
Enumeration date
07/28/2020
Last updated
07/28/2020
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