Individual
MRS. DEBORAH A. MASTRIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 W MAIN ST, ONE EXCHANGE PLACE BLDG-3RD FLOOR, WATERBURY, CT 06702-2013
(203) 574-3777
(203) 755-1708
Mailing address
21 W MAIN ST, ONE EXCHANGE PLACE BLDG-3RD FLOOR, WATERBURY, CT 06702-2013
(203) 574-3777
(203) 755-1708
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
002113
CT
363L00000X
Nurse Practitioner
002113
CT
363LF0000X
Family Nurse Practitioner
Primary
002113
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004238839
—
CT
Enumeration date
06/15/2006
Last updated
01/23/2013
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