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NANCI E KACZEGOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
115 TECHNOLOGY DR, SUITE B-106, TRUMBULL, CT 06611-6337
(203) 452-1411
(203) 452-1412
Mailing address
44 MARSH RD, EASTON, CT 06612-1927
(203) 374-9630

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002926
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004242442
CT
Enumeration date
05/24/2005
Last updated
07/26/2011
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