Individual
MRS. BRITTANIA ANNE GEORGETTE LIEBLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(877) 884-3571
Mailing address
2 WATERSIDE XING, WINDSOR, CT 06095-1587
(860) 463-1342
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111601
CT
363L00000X
Nurse Practitioner
007186
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
7186
CT
Other
Enumeration date
08/21/2017
Last updated
09/23/2024
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