Individual
BETH ANN HACKETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
97 BARNES RD, WALLINGFORD, CT 06492-1885
(203) 949-2700
(203) 949-2712
Mailing address
101 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2360
(203) 949-2700
(203) 949-2712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002927
CT
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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