Individual
BROOKE FELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
391 POMFRET AVENUE, PUTNAM, CT 06239
(860) 731-5522
(860) 731-5536
Mailing address
995 DAY HILL ROAD, WINDSOR, CT 06095
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
038412
CT
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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