Individual
ANA KRISTIA G BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
131 NEW LONDON TPKE STE 101, GLASTONBURY, CT 06033-2246
(860) 659-8904
Mailing address
131 NEW LONDON TPKE STE 101, GLASTONBURY, CT 06033-2246
(860) 659-8904
(860) 246-5828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003860
CT
363LF0000X
Family Nurse Practitioner
335361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004000410
—
CT
Enumeration date
10/29/2007
Last updated
07/08/2019
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