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Individual

ALEXA LENAE HEROLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
22 GILLETTE ST, MILFORD, CT 06460-7840
(608) 312-3721

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
143339
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
209027896
IL

Other

Enumeration date
07/20/2021
Last updated
07/27/2023
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