Individual
CARISSA L GONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNM
Contact information
Practice address
85 SEYMOUR ST, HARTFORD, CT 06106-5501
(860) 246-4029
(860) 240-7072
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000337
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000337
LICENSE
CT
Enumeration date
12/15/2009
Last updated
09/01/2015
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