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Individual

DONNA FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1 LAKE ST, NEW BRITAIN, CT 06052-1396
(860) 348-4242
(860) 348-4646
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6200
(860) 224-6260

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
003681
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004272283
CT
01
103681
CONNECTICARE
CT
01
400003681CT01
BCBS NEW BRITAIN OFFICE
CT
01
400003681CT02
BCBS CROMWELL OFFICE
CT
01
423198
WELLCARE MEDICARE
CT
Enumeration date
10/11/2007
Last updated
05/08/2013
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