Individual
TERRY M POPPITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
71 HAYNES ST, NEONATAL INTENSIVE CARE, MANCHESTER, CT 06040-4131
(860) 647-4748
Mailing address
71 HAYNES ST, NEONATAL INTENSIVE CARE, MANCHESTER, CT 06040-4131
(860) 647-4748
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
001086
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004254463
—
CT
Enumeration date
02/20/2006
Last updated
09/22/2022
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