Individual
DARIA S KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
8 TITUS RD, CONNECTICUT THERAPY ASSOCIATES, LLC, WASHINGTON DEPOT, CT 06794-1517
(860) 868-0857
Mailing address
10 BEAR RUN, WOODBURY, CT 06798-3334
(203) 263-4397
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003151
CT
Other
Enumeration date
11/20/2007
Last updated
03/29/2012
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