Individual
MS. TRACI MARANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 VILLAGE WALK STE 241, GUILFORD, CT 06437-2762
(203) 747-5282
(203) 230-1102
Mailing address
800 VILLAGE WALK STE 241, GUILFORD, CT 06437-2762
(203) 747-5282
(203) 230-1102
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003652
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067124
CT. STATE LICENSE
CT
01
—
2007003895
ANCC
CT
Enumeration date
08/29/2007
Last updated
05/19/2022
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