Individual
ELIZABETH H ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
67 BROWNELL AVE, HARTFORD, CT 06106-3302
(860) 244-3876
Mailing address
205 VERNON AVENUE, #163, VERNON, CT 06066
(860) 454-4793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001869
CT
363LA2200X
Adult Health Nurse Practitioner
001869
CT
Other
Enumeration date
05/09/2008
Last updated
02/10/2010
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