Individual
DIANA ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 585-3000
Mailing address
531 MANHATTAN AVE, GARDEN APT, NEW YORK, NY 10027-5215
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6458
CT
363LF0000X
Family Nurse Practitioner
6458
CT
Other
Enumeration date
02/23/2016
Last updated
06/22/2016
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