Individual
MRS. CARRIE ANN WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 WESTCOTT RD, DANIELSON, CT 06239-2929
(860) 774-9540
Mailing address
829 STAFFORD RD, STORRS, CT 06268-2006
(860) 840-9486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9382
CT
363LF0000X
Family Nurse Practitioner
Primary
9382
CT
Other
Enumeration date
02/05/2021
Last updated
10/26/2021
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