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Individual

INELIZ SANTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 384-3000
Mailing address
360 STATE ST APT 3002, NEW HAVEN, CT 06510-3630
(860) 680-0198

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12775
CT

Other

Enumeration date
01/31/2024
Last updated
02/02/2024
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