| NPI | 1457724056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENNA MONICA NEALON Family Nurse Practitioner 203-220-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 001767) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2017-01-11 |