CARLY M ODESINA

PORTLAND, CT
NPI1548610959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  12.006642)
Enumeration Date2016-06-16
Last Update Date2018-09-14
Business Address
Mrs. CARLY M ODESINA APRN
270 MAIN ST
PORTLAND, CT 06480-1836
Phone number: 860-342-3392
Mailing Address
Mrs. CARLY M ODESINA APRN
28 CRESCENT ST
MIDDLETOWN, CT 06457-3654
Phone number: 860-358-4820