Individual
CAROL ANN GREAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, APRN
Contact information
Practice address
246 FEDERAL RD, UNIT C-33, BROOKFIELD, CT 06804-2647
(203) 740-2644
(203) 740-7887
Mailing address
246 FEDERAL RD, UNIT C-33, BROOKFIELD, CT 06804-2647
(203) 740-2644
(203) 740-7887
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R23938
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001072
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004196285
—
CT
Enumeration date
01/03/2007
Last updated
06/02/2011
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