Individual
LINDA LEE MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
320 LAKEVIEW AVE, WATERBURY, CT 06705-2145
(860) 938-1780
Mailing address
320 LAKEVIEW AVE, WATERBURY, CT 06705-2145
(860) 938-1780
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
8141
CT
363LG0600X
Gerontology Nurse Practitioner
8141
CT
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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