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Individual

DANIELLA GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
75 KINGS HIGHWAY CUTOFF OFC, FAIRFIELD, CT 06824-5340
(860) 203-3737
Mailing address
207 GEORGE ST APT 411, MIDDLETOWN, CT 06457-3598
(401) 374-5397

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
12.008318
CT
363LF0000X
Family Nurse Practitioner
Primary
8318
CT

Other

Enumeration date
07/24/2019
Last updated
10/01/2020
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