Individual
MRS. DONNA M CIVARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA, APRN, FNP-BC
Contact information
Practice address
223 W TOWN ST, NORWICH, CT 06360-2130
(860) 383-2024
(860) 373-2457
Mailing address
223 W TOWN ST, NORWICH, CT 06360-2130
(860) 383-2024
(860) 373-2457
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
E56768
CT
363L00000X
Nurse Practitioner
004438
CT
363LF0000X
Family Nurse Practitioner
Primary
004438
CT
363LP2300X
Primary Care Nurse Practitioner
004438
CT
Other
Enumeration date
02/09/2007
Last updated
06/27/2013
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