Individual
MRS. KIMBERLEY ANNE WASKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
7 WYNWOOD DR, CROMWELL, CT 06416-2524
(860) 632-9233
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
002704
CT
367500000X
Certified Registered Nurse Anesthetist
052720
CT
Other
Enumeration date
07/17/2006
Last updated
04/30/2008
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