Individual
MRS. NINA MARIE GRABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-9033
(860) 972-7040
Mailing address
85 SEYMOUR ST, STE 416, HARTFORD, CT 06106-5501
(860) 947-8500
(860) 524-8643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10.E49911
CT
363L00000X
Nurse Practitioner
Primary
12.006048
CT
363LA2100X
Acute Care Nurse Practitioner
12.006048
CT
Other
Enumeration date
01/13/2015
Last updated
12/30/2015
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