Individual
GLENDA J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
490 BLUE HILLS AVE, PHYSICIAN'S OFFICE SUITE, HARTFORD, CT 06112-1513
(860) 714-4694
(860) 714-8096
Mailing address
490 BLUE HILLS AVE, PHYSICIAN'S OFFICE SUITE, HARTFORD, CT 06112-1513
(860) 714-4694
(860) 714-8096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001200
CT
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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