TAANIEL KIIDLI

HARTFORD, CT
NPI1093491987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CT  12.012424)
Enumeration Date2023-06-26
Last Update Date2023-10-04
Business Address
TAANIEL KIIDLI APRN
80 SEYMOUR STREET SOUTH 502
HARTFORD, CT 06102-5037
Phone number: 860-972-0549
Mailing Address
TAANIEL KIIDLI APRN
1290 SILAS DEANE HWY HHC-CVO
WETHERSFIELD, CT 06109-4337
Phone number: