Individual
BROOKE NELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
25 NEWELL RD STE E31, BRISTOL, CT 06010-5140
(860) 308-1020
(860) 308-1024
Mailing address
51 CROSSMAN RD, GOSHEN, CT 06756-2117
(860) 912-0610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
174201
CT
363LF0000X
Family Nurse Practitioner
Primary
14930
CT
Other
Enumeration date
09/18/2024
Last updated
05/05/2026
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