Individual
EMILY EKLOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457
(860) 358-6000
Mailing address
559 EDGEWOOD RD, BERLIN, CT 06037-3804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
007269
CT
363LG0600X
Gerontology Nurse Practitioner
7269
CT
Other
Enumeration date
05/22/2018
Last updated
07/24/2018
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