Individual
GENEVA NICOLE BERESFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 BUCKLAND RD STE 7, SOUTH WINDSOR, CT 06074-3764
(860) 550-7549
(860) 550-7529
Mailing address
1290 SILAS DEANE HWY, HHC CVO ENROLLMENT, WETHERSFIED, CT 06109-4337
(860) 972-6970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7292
CT
Other
Enumeration date
11/16/2017
Last updated
08/29/2019
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