NPI | 1245545227 |
---|---|
Entity Type | Organization |
Authorized Contact | AGNIESZKA MALGORZATA NALEPA Ap RN 860-707-2342 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 4444) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CT 004444) |
282NC0060X General Acute Care Hospital, Critical Access (Licence: CT 004444) | |
Enumeration Date | 2010-08-13 |
Last Update Date | 2013-04-16 |