Individual
MRS. BARBARA ANN DICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
75 GREAT POND RD, SIMSBURY, CT 06070-1980
(860) 658-3745
Mailing address
75 GREAT POND RD, SIMSBURY, CT 06070-1980
(860) 658-3745
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
000651
CT
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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