Organization
ADVANCE PRACTICE RESOURCE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PELOSI APRN (OWNER)
(203) 596-0857
Entity
Organization
Contact information
Practice address
969 W MAIN ST, SUITE 1 D, WATERBURY, CT 06708-2653
(203) 596-0857
(203) 900-0672
Mailing address
969 W MAIN ST, SUITE 1 D, WATERBURY, CT 06708-2653
(203) 596-0857
(203) 900-0672
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005149
CT
Other
Enumeration date
05/10/2016
Last updated
09/07/2016
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