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Individual

MARY BRENNAN-CENTRELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL OBGYN DEPT, HARTFORD, CT 06102-5037
(860) 972-2780
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL OBGYN DEPT, HARTFORD, CT 06102-5037
(860) 972-2780

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
000704
CT
363LN0000X
Neonatal Nurse Practitioner
Primary
000704
CT

Other

Enumeration date
02/07/2006
Last updated
01/26/2015
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