Individual
EILEEN POND LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
455 CHASE PKWY FL 3, WATERBURY HOSPITAL, WATERBURY, CT 06708-3352
(203) 578-3940
(203) 573-1527
Mailing address
455 CHASE PKWY FL 3, WATERBURY HOSPITAL, WATERBURY, CT 06708-3352
(203) 578-3940
(203) 573-1527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002617
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242963
—
CT
Enumeration date
08/12/2005
Last updated
10/08/2012
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