Individual
JUDITH BURCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
478 BURNSIDE AVE, EAST HARTFORD, CT 06108-2425
(860) 528-1359
Mailing address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(860) 983-1955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10617
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236164
—
CT
Enumeration date
08/05/2022
Last updated
08/05/2022
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