Individual
ANDREA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, CANCER CENTER, FARMINGTON, CT 06030-2875
(860) 679-2100
(860) 679-4815
Mailing address
88 MOUNTAIN RD, WOODBURY, CT 06798-3421
(203) 263-7354
(203) 263-7354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002999
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801897418
—
CT
Enumeration date
08/04/2005
Last updated
09/29/2022
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