Individual
MS. CISALEE GENE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 667-6255
(860) 667-6875
Mailing address
62 W EGGLESTON ST, BLOOMFIELD, CT 06002-3249
(860) 667-6255
(860) 667-6875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000191
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000191
APRN
CT
Enumeration date
06/21/2006
Last updated
07/08/2007
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