Individual
RYAN MANSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
(860) 886-1433
Mailing address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
8958
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
8958
CT
Other
Enumeration date
06/09/2020
Last updated
09/10/2020
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