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Individual

MS. HEATHER A ALFONSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN APRN

Contact information

Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1570
(203) 732-1576
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1570
(203) 732-1576

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004657
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
004657
CT
364SA2200X
Adult Health Clinical Nurse Specialist
004657
CT

Other

Enumeration date
05/24/2011
Last updated
01/23/2015
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