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Individual

VANESSA POMARICO-DENINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
001906
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0019062675
CONNECTICARE
CT
05
004236057
CT
01
0Q3519
HEALTHNET
CT
01
400001906CT02
ANTHEM BLUE/CROSS
CT
01
P00017792
RAILROAD MEDICARE
CT
01
P2739411
OXFORD
CT
Enumeration date
06/20/2006
Last updated
12/05/2014
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