Individual
MARIA ANNA M GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
EVERCARE, 450 COLUMBUS AVENUE, HARTFORD, CT 06103-6270
(860) 874-4552
Mailing address
130 BRENTWOOD DR, CHESHIRE, CT 06410-3440
(203) 272-7909
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
003310
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004253895
—
CT
Enumeration date
11/30/2005
Last updated
03/13/2023
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