Individual
MRS. HEATHER PREVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3426 MAIN ST, STRATFORD, CT 06614-4118
(203) 318-0803
Mailing address
3426 MAIN ST, STRATFORD, CT 06614-4118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6605
CT
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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