Individual
DR. ELLIS RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0002
(860) 679-2000
Mailing address
29 ENGLEWOOD AVE, WEST HARTFORD, CT 06110-1123
(901) 485-3958
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
133837
TN
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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