| NPI | 1346315231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MILNE Member 860-340-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 000638) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002938) |
| 364S00000X Clinical Nurse Specialist (Licence: CT 001126) | |
| 364S00000X Clinical Nurse Specialist (Licence: CT 002671) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 003747) | |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2008-07-27 |