Individual
KARA DAZKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3107
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-8300
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
009026
CT
363LC0200X
Critical Care Medicine Nurse Practitioner
9026
CT
363LF0000X
Family Nurse Practitioner
Primary
009026
CT
Other
Enumeration date
07/28/2020
Last updated
09/29/2022
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