Individual
MRS. MARTHA S BARCELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-7245
Mailing address
39 MADISON LN, WEST SIMSBURY, CT 06092-2615
(860) 651-8140
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
005025
CT
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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