ANGELA LYN PRENTISS

GROTON, CT
NPI1285048579
Former NameANGELA BENARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  005767)
Enumeration Date2014-06-16
Last Update Date2015-02-13
Business Address
-- ANGELA LYN PRENTISS APRN
52 HAZELNUT HILL RD
GROTON, CT 06340-3268
Phone number: 860-446-8265
Mailing Address
-- ANGELA LYN PRENTISS APRN
612 SOUTH STREET
COVENTRY, CT 06238
Phone number:
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