Individual
ANIES JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 MAIN ST STE 100, MONROE, CT 06468-2810
(914) 844-5428
Mailing address
62 JOHNSON ST, TRUMBULL, CT 06611-2251
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
089346
CT
363LF0000X
Family Nurse Practitioner
Primary
15234
CT
Other
Enumeration date
11/26/2024
Last updated
10/06/2025
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