Individual
DAWN MARIE MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
30 WEST AVON ROAD, AVON, CT 06001
(860) 673-2581
Mailing address
30 W AVON RD, AVON, CT 06001-3678
(860) 673-2581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004309
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528389962
—
CT
Enumeration date
06/21/2010
Last updated
09/24/2012
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