Individual
YOMALIS NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 CABANILLAS CIRCLE, GROTON, CT 06340-2868
(787) 640-0115
Mailing address
44 CABANILLAS CIRCLE, GROTON, CT 06340-2868
(787) 640-0115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12788
CT
Other
Enumeration date
02/14/2022
Last updated
02/07/2024
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