Individual
MRS. MARYFRANCES LANOSA DESTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
55 HOLLY HILL LN, GREENWICH, CT 06830-6074
(203) 863-4210
Mailing address
55 HOLLY HILL LN, GREENWICH, CT 06830-6074
(203) 863-4210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2323
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2323
APRN LICENSE
CT
Enumeration date
03/29/2012
Last updated
03/29/2012
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