Individual
NARRA SONGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 284-0182
(860) 284-6804
Mailing address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 284-0182
(860) 284-6804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004515
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
004515
CT
Other
Enumeration date
10/19/2010
Last updated
11/05/2018
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