Individual
MAHVESH BABAR ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 UNION ST, VERNON, CT 06066-3025
(860) 375-8440
Mailing address
145 UNION ST, VERNON, CT 06066-3025
(860) 375-8440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14842
CT
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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