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Individual

JANEEN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6679
(860) 496-6666
Mailing address
4 RED FOX RUN, WOLCOTT, CT 06716-2769
(203) 560-6509

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
34132638
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34132638
ANCC
Enumeration date
09/01/2017
Last updated
09/01/2017
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