Individual
NANCY O. QUIMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
439
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
000439
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023711
—
CT
Enumeration date
01/13/2006
Last updated
11/07/2013
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