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Individual

ASHLEY DIZNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
520 SAYBROOK RD STE 105, MIDDLETOWN, CT 06457-4700
(203) 314-0179
Mailing address
26 BITTERSWEET LN, BERLIN, CT 06037-1919
(203) 314-0179

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5810
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5810
CT

Other

Enumeration date
08/06/2014
Last updated
05/02/2024
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