Organization
NURSE PRACTITIONERS GERONTOLOGY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHENA ANGELA MCPHERSON APRN (OWNER/AUTHORIZED OFFICIAL)
(860) 212-2896
Entity
Organization
Contact information
Practice address
1 REGENCY DR STE 309, BLOOMFIELD, CT 06002-2310
(860) 836-2383
Mailing address
1 REGENCY DR STE 309, BLOOMFIELD, CT 06002-2310
(860) 836-2383
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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