Individual
CECILIA HACKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
134 STATE ST, MERIDEN, CT 06450-3293
(860) 347-6971
Mailing address
104 SHELDON TER, NEW HAVEN, CT 06511-2008
(413) 230-7664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.010703
CT
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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