Individual
DANIELLE NICOLE WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5011
Mailing address
14 WASHINGTON RIDGE RD, EAST GRANBY, CT 06026-9586
(860) 413-3776
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001956
CT
Other
Enumeration date
09/20/2007
Last updated
06/22/2023
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