Individual
EVADNE CLAUDIA VASCIANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 W MAIN ST, BRANFORD, CT 06405-3416
(203) 483-7778
Mailing address
4046 WILDER AVE FL 2, BRONX, NY 10466-2329
(307) 677-1093
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
012358
CT
363LF0000X
Family Nurse Practitioner
Primary
353027
NY
363LX0106X
Occupational Health Nurse Practitioner
012358
CT
Other
Enumeration date
09/22/2023
Last updated
11/20/2024
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