Individual
CASSANDRA Y GRYCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACAGNP
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109
(860) 258-2375
(860) 571-6805
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005962
CT
363LA2100X
Acute Care Nurse Practitioner
005962
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
005962
CT
Other
Enumeration date
10/24/2014
Last updated
05/21/2018
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