Individual
MS. JUEL MARIE NEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17 MOUNTAIN VIEW DR, WATERBURY, CT 06706-2825
(404) 934-9683
Mailing address
17 MOUNTAIN VIEW DR, WATERBURY, CT 06706-2825
(404) 934-9683
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
030609
CT
164W00000X
Licensed Practical Nurse
317332
NY
164W00000X
Licensed Practical Nurse
Primary
LPN068670
GA
Other
Enumeration date
06/29/2012
Last updated
12/20/2013
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