Individual
MRS. REBECCA IANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
15 RIVERSIDE AVE, BRISTOL, CT 06010-6312
(860) 516-7593
Mailing address
15 RIVERSIDE AVE, BRISTOL, CT 06010-6312
(860) 516-7593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14383
CT
Other
Enumeration date
02/11/2025
Last updated
08/07/2025
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