Individual
NICOLE M PROTOMASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
761 MAIN AVE, NORWALK, CT 06851-1080
(203) 644-1145
Mailing address
761 MAIN AVE, NORWALK, CT 06851-1080
(203) 644-1145
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
002693
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002693
APRN
CT
Enumeration date
08/14/2009
Last updated
08/14/2009
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