Individual
ILENA SOPHIA KISCIRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
761 MAIN AVE BLDG A, NORWALK, CT 06851-1080
(203) 810-4151
Mailing address
100 BRIDLE TRL, RIDGEFIELD, CT 06877-1404
(203) 837-6878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21332340
CT
Other
Enumeration date
01/08/2024
Last updated
03/12/2024
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