Individual
NANA PREMPEH-MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(800) 714-4000
Mailing address
925 MIX AVE APT 1I, HAMDEN, CT 06514-5118
(347) 330-0679
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7439
CT
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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