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Healthykidsne, PLLC

Nurse Practitioner, Family in East Hartford, CT. Organization (NPI-2).

NPI number1104445352
StatusActive
Last updated in NPPESApr 8, 2020

Details

NPI
1104445352
Entity type
Organization (NPI-2)
Legal business name
Healthykidsne, PLLC
Organization subpart
No
Enumeration date
Apr 8, 2020
Certification date
Apr 8, 2020
Last updated
Apr 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes
1041C0700X Social Worker, Clinical––

Practice location

763burnside Avenue
East Hartford, CT 06108

Phone 860-573-7682

Mailing address

763burnside Avenue
East Hartford, CT 06108

Phone 860-573-7682

Authorized official

Deborah J Poerio
President/Ceo
8605737682

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