Individual
ELIZABETH CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 241-2293
Mailing address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(203) 460-6553
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
161328
CT
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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