| NPI | 1881887834 |
|---|---|
| Doing Business As | DOING BUSINESS AS NURSE PRACTITIONER |
| Entity Type | Organization |
| Authorized Contact | SUZAN S. KIRCHER Practice Manager 860-496-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |