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Individual

DEIRDRE PAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
150 MAIN ST, CHESTER, CT 06412-1340
(860) 526-4945
(860) 358-8651
Mailing address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 358-5970
(860) 358-8692

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003360
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004263133
CT
Enumeration date
08/30/2006
Last updated
07/12/2017
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