Individual
KIMBERLY DEMORAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
875 ENFIELD ST, ENFIELD, CT 06082-3617
(860) 741-3014
Mailing address
875 ENFIELD ST, ENFIELD, CT 06082-3617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9960
CT
Other
Enumeration date
09/08/2021
Last updated
12/02/2021
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