Individual
MS. ANNA LEOVEY BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNPBC
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4746
Mailing address
PO BOX 793, MIDDLETOWN, CT 06457-0793
(860) 808-9748
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4629
CT
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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