Individual
NANCY DEIRDRA MUNNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 WHIPPOORWILL LN, WESTON, CT 06883-1010
(203) 544-1058
Mailing address
4 WHIPPOORWILL LN, WESTON, CT 06883-1010
(203) 544-1058
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
288644
NY
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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