DIANE ROBERTO-NICHOLS

ELLINGTON, CT
NPI1154345874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CT  000131)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- DIANE ROBERTO-NICHOLS APRN
105 WEST RD
ELLINGTON, CT 06029-3777
Phone number: 860-872-7854
Mailing Address
-- DIANE ROBERTO-NICHOLS APRN
100 ERIC DR
COVENTRY, CT 06238-1327
Phone number: 860-742-6320
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