Individual
AERICKA ROBYN KHONGDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
320 WESTERN BLVD STE 104, GLASTONBURY, CT 06033-1276
(860) 657-5940
Mailing address
120 WEBSTER SQUARE RD, BERLIN, CT 06037-2329
(860) 829-0707
(860) 829-0606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
005063
CT
363LA2200X
Adult Health Nurse Practitioner
005063
CT
Other
Enumeration date
08/13/2012
Last updated
05/02/2023
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