Individual
LEAH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CAPITAL BLVD, ROCKY HILL, CT 06067-3576
(860) 637-3269
(888) 832-6121
Mailing address
185 ASYLUM ST, HARTFORD, CT 06103-3408
(860) 637-3269
(888) 832-6121
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
02246
RI
363LP2300X
Primary Care Nurse Practitioner
081611-23
NH
363LP2300X
Primary Care Nurse Practitioner
Primary
12.006741
CT
363LP2300X
Primary Care Nurse Practitioner
CNP191291
ME
363LP2300X
Primary Care Nurse Practitioner
F309504-01
NY
Other
Enumeration date
10/17/2016
Last updated
12/08/2020
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