Individual
MISS COLLEEN STODDART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
324 ELM ST STE 202B, MONROE, CT 06468-2284
(203) 880-5335
Mailing address
90 KANE ST APT B3, WEST HARTFORD, CT 06119-2114
(860) 833-9207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6403
CT
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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