Individual
TATIANA PANEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
539 FARMINGTON AVE, BRISTOL, CT 06010-3931
(860) 314-6046
Mailing address
138 DEWEY AVE, NEWINGTON, CT 06111-2064
(860) 869-9682
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10650
CT
363LF0000X
Family Nurse Practitioner
Primary
10650
CT
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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