Individual
VICKIE DAUPHINAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
52 PECK RD, TORRINGTON, CT 06790
(860) 489-6899
(860) 489-1206
Mailing address
52 PECK RD, TORRINGTON, CT 06790-6107
(860) 489-6899
(860) 489-1206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2793
CT
363LG0600X
Gerontology Nurse Practitioner
002793
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004226222
—
CT
Enumeration date
07/29/2005
Last updated
09/13/2018
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