Individual
MRS. KATHLEEN WARD TUMMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS APRN ANP
Contact information
Practice address
114 WOODLAND ST, AMBULATORY ADMINISTRATION, HARTFORD, CT 06105-1208
(860) 714-9900
(860) 714-7521
Mailing address
114 WOODLAND ST, AMBULATORY ADMINISTRATION, HARTFORD, CT 06105-1208
(860) 714-9900
(860) 714-7521
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
000933
CT
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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