Individual
MRS. CYNTHIA A. ELY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
30 DEEPWOOD RD, WILTON, CT 06897-4201
(203) 984-1295
Mailing address
30 DEEPWOOD RD, WILTON, CT 06897-4201
(203) 984-1295
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
004861
CT
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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