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Individual

MRS. MARIA JAMIE VAN GELDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6 BUSINESS PARK DR, BRANFORD, CT 06405-2988
(203) 464-0348
Mailing address
18 ROCK PASTURE RD, BRANFORD, CT 06405-6227
(203) 464-0348

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
003471
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12345
NONE
Enumeration date
07/01/2008
Last updated
07/01/2008
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