Individual
MRS. MARY GUION BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
445 S MAIN ST, WEST HARTFORD, CT 06110-1646
(860) 696-2200
(860) 561-0001
Mailing address
1290 SILAS DEANE HIGHWAY, HHC - CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8190
CT
Other
Enumeration date
06/25/2015
Last updated
09/19/2023
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