Individual
LARISSA CAMANO-SELCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, FNP-BC
Contact information
Practice address
1202 EATON CT, DANBURY, CT 06811-4052
(203) 917-9272
Mailing address
1202 EATON CT, DANBURY, CT 06811-4052
(203) 917-9272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005307
CT
Other
Enumeration date
03/19/2013
Last updated
11/21/2014
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