| NPI | 1205094885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L ZANDONELLA Owner 860-575-0349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-10-13 |