Individual
CARLI WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15 PALOMBA DR, ENFIELD, CT 06082-3888
(890) 745-1623
(860) 741-3618
Mailing address
15 PALOMBA DR, ENFIELD, CT 06082-3888
(890) 745-1623
(860) 741-3618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5433
CT
Other
Enumeration date
08/08/2013
Last updated
06/30/2014
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