Individual
JENNA DENORFIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 LIBERTY ST, SOUTHINGTON, CT 06489-3114
(860) 919-8448
Mailing address
31 LIBERTY ST STE 110, SOUTHINGTON, CT 06489-3114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
89522
CT
363L00000X
Nurse Practitioner
Primary
8487
CT
Other
Enumeration date
08/30/2019
Last updated
09/11/2019
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