Individual
EVELINE GWAABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 N MAIN ST, ENFIELD, CT 06082-3372
(860) 253-9024
(860) 953-9359
Mailing address
5 N MAIN ST, ENFIELD, CT 06082-3372
(860) 253-9024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10832
CT
363LF0000X
Family Nurse Practitioner
R178804
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10832
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R178804
MD
Other
Enumeration date
11/10/2016
Last updated
12/04/2025
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