Individual
MERDELLA DORA BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
340 BROAD ST STE 100, WINDSOR, CT 06095-3030
(860) 580-7170
Mailing address
111 SPARROWBUSH RD, EAST HARTFORD, CT 06108-1215
(347) 806-8824
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
12912
CT
363LP2300X
Primary Care Nurse Practitioner
12912
CT
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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