Individual
MARYBETH REILEY NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
580 COTTAGE GROVE RD, SUITE 205, BLOOMFIELD, CT 06002-3088
(860) 286-2996
(860) 286-0862
Mailing address
1000 ASYLUM AVE, SUITE 2109A, HARTFORD, CT 06105-1770
(860) 714-6581
(860) 714-8311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004031
CT
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
004031
CT
Other
Enumeration date
01/14/2009
Last updated
08/07/2013
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