Individual
KARA MOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6000
Mailing address
94 HILLTOP CIR, MILFORD, CT 06460-7526
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
088288
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
088288
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236130
—
CT
Enumeration date
06/28/2010
Last updated
05/12/2015
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