Individual
LAURA ELIZABETH BOWLES DIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7118
Mailing address
30 NORTHFIELD RD, FAIRFIELD, CT 06824-5620
(203) 217-9236
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8403
CT
Other
Enumeration date
07/11/2019
Last updated
02/26/2021
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