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Individual

TIMOTHY J. CAOUETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
27 NAEK ROAD, SUITE 2, VERNON, CT 06066
(860) 875-2444
(860) 872-2936
Mailing address
27 NAEK ROAD, SUITE 2, VERNON, CT 06066
(860) 875-2444
(860) 872-2936

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN 003847
CT
363L00000X
Nurse Practitioner
RN 075300
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
003847
CT

Other

Enumeration date
08/13/2008
Last updated
11/05/2018
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