Individual
NICOLE PALANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E MAIN ST, STRATFORD, CT 06614-5114
(203) 923-2974
Mailing address
37 PROSPECT ST APT 1D, MILFORD, CT 06460-4875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13919
CT
363LP2300X
Primary Care Nurse Practitioner
13919
CT
Other
Enumeration date
09/25/2024
Last updated
12/03/2024
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