STATE OF CONNECTICUT HEALTH CENTER

FARMINGTON, CT
NPI1386821882
Other NameAPRN, ORTHOPAEDICS
Entity TypeOrganization
Authorized ContactDENIS C LAFRENIERE
Medical Director
860-679-7503
Organization Subpart ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2008-01-28
Last Update Date2022-07-21
Business Address
STATE OF CONNECTICUT HEALTH CENTER
263 FARMINGTON AVE APRN, ORTHOPAEDICS
FARMINGTON, CT 06030-0001
Phone number: 860-679-7503
Mailing Address
STATE OF CONNECTICUT HEALTH CENTER
263 FARMINGTON AVE PROVIDER ENROLLMENT - DOWLING SOUTH
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503