Individual
IME EFFIONG EDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 GREENWICH CT, MIDDLETOWN, CT 06457-4523
(860) 301-3721
Mailing address
19 GREENWICH CT, MIDDLETOWN, CT 06457-4523
(860) 301-3721
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13250
CT
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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