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WALLACE JANE HAMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT., HARTFORD, CT 06102-5037
(860) 972-4398
Mailing address
80 SEYMOUR ST, HARTFORD HOSPITAL CARDIOLOGY DEPT., HARTFORD, CT 06102-5037
(860) 972-4398

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
001207
CT
363LA2200X
Adult Health Nurse Practitioner
001207
CT
363LF0000X
Family Nurse Practitioner
Primary
001207
CT
363LP0200X
Pediatric Nurse Practitioner
001207
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001207
APRN MEDICAL LICENSE
CT
01
E48599
RN MEDICAL LICENSE
CT
Enumeration date
06/13/2007
Last updated
12/18/2015
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