Individual
LISA M OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1579 STRAITS TPKE, SUITE 2A, MIDDLEBURY, CT 06762-1835
(203) 757-8361
(203) 754-9126
Mailing address
82 COACHLIGHT CIR, PROSPECT, CT 06712-1564
(203) 527-9505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E49193
CT
363LF0000X
Family Nurse Practitioner
Primary
001690
CT
Other
Enumeration date
12/15/2006
Last updated
03/16/2020
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