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Individual

JANICE J ELWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1221
(203) 709-6000
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1221
(203) 709-6000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002922
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004242351
CT
01
245533
WELLCARE
CT
01
25-22082
AMERICHOICE
CT
01
400002922CT01
ANTHEM BCBS CT
CT
01
7628912
AETNA
CT
01
957737
USA
CT
01
P00619243
RAILROAD MEDICARE
CT
01
P3185514
OXFORD
CT
Enumeration date
07/17/2006
Last updated
07/14/2014
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