Terance A Anderson, APRN
Nurse Practitioner, Gerontology in New Haven, CT. Individual provider (NPI-1).
NPI number1306409222
StatusActive
Last updated in NPPESOct 22, 2019
Details
- NPI
- 1306409222
- Entity type
- Individual (NPI-1)
- Name
- Terance A Anderson
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2019
- Last updated
- Oct 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 8152 | CT | Yes |
Practice location
20 York Street, Cb-2041New Haven, CT 06510-3220
Phone 203-688-4748 · Fax 203-688-4740
Mailing address
78 W Easton StHamden, CT 06514-5021
Phone 203-687-2084
Other practice locations
78 W Easton St
Hamden, CT 06514-5021
Hamden, CT 06514-5021
Phone 203-687-2084
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