Individual
KARA ELIZABETH ANASTASIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
071940
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
004235
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004555
—
CT
Enumeration date
01/08/2009
Last updated
06/13/2013
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