Individual
LISA MARIE CANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 BLOOMFIELD AVENUE, PROHEALTH PHYSICIANS STUDENT HEALTH SERVICES, WEST HARTFORD, CT 06117
(860) 768-6601
(860) 768-5140
Mailing address
200 BLOOMFIELD AVENUE, PROHEALTH PHYSICIANS STUDENT HEALTH SERVICES, WEST HARTFORD, CT 06117
(860) 768-6601
(860) 768-5140
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002387
CT
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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