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Individual

EILEEN HANRAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
132 MANSFIELD AVE, WILLIMANTIC, CT 06226-2027
(860) 456-2661
Mailing address
66 SHORE RD, OLD LYME, CT 06371-1637
(860) 434-4316

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003105
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003105
CT LICENSE FOR APRN
CT
Enumeration date
11/14/2007
Last updated
03/21/2011
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