Individual
MARIA S DAIGNEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL DIABETES LIFE CARE, HARTFORD, CT 06102-5037
(860) 545-3526
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002586
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
002586
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025862
—
CT
Enumeration date
10/05/2006
Last updated
10/02/2012
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