Individual
KAREN PIETRUSZKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, NEONATALOGY, FARMINGTON, CT 06030-0001
(860) 679-3105
(860) 679-1403
Mailing address
65 KANE ST, PROVIDER ENROLLMENT, WEST HARTFORD, CT 06119-2110
(860) 523-6421
(860) 523-3701
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
000870
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000870
CT LICENSE
CT
05
—
1780856484
—
CT
Enumeration date
04/02/2008
Last updated
08/11/2010
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