Individual
ANNE N NTATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
410 CAPITOL AVE, HARTFORD, CT 06106-1367
(860) 262-5216
Mailing address
410 CAPITOL AVE, HARTFORD, CT 06106-1367
(860) 262-5216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001516
CT
363LP0200X
Pediatric Nurse Practitioner
001516
CT
Other
Enumeration date
10/02/2009
Last updated
09/23/2016
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