Individual
ANA C UVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
1647 MUSSO VIEW AVE, CHESHIRE, CT 06410-1027
(203) 804-7277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8643
CT
Other
Enumeration date
12/08/2019
Last updated
09/16/2024
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