Individual
NANCY TREVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 BROWNSTONE TURN, WEATOGUE, CT 06089-9678
(860) 408-9171
Mailing address
2 BROWNSTONE TURN, WEATOGUE, CT 06089-9678
(860) 408-9171
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001989
CT
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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