Individual
TANIA RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM/WHNP
Contact information
Practice address
17 EASTWOOD RD, GROTON, CT 06340-6010
(860) 912-2133
Mailing address
17 EASTWOOD RD, GROTON, CT 06340-6010
(860) 912-2133
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
006376
CT
Other
Enumeration date
04/01/2015
Last updated
12/20/2016
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