Individual
KIARA GOLDWAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
732 SPRUCE BROOK RD, SOUTHBURY, CT 06488-1034
(203) 943-1282
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
120728
CT
163WC0200X
Critical Care Medicine Registered Nurse
311956
NY
163WC0200X
Critical Care Medicine Registered Nurse
800276
NY
363LA2100X
Acute Care Nurse Practitioner
431848
NY
363LC0200X
Critical Care Medicine Nurse Practitioner
9426
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
9426
CT
Other
Enumeration date
09/01/2020
Last updated
08/13/2021
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