Kyle Lynn Blomberg
Nurse Practitioner, Family in Branford, CT. Individual provider (NPI-1).
NPI number1689143802
StatusActive
Last updated in NPPESNov 16, 2018
Details
- NPI
- 1689143802
- Entity type
- Individual (NPI-1)
- Name
- Kyle Lynn Blomberg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2018
- Last updated
- Nov 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 7863 | CT | Yes |
Practice location
500 E Main St Ste 212Branford, CT 06405-2937
Phone 203-481-5665
Mailing address
500 E Main St Ste 212Branford, CT 06405-2937
Other practice locations
500 E Main St Ste 212
Branford, CT 06405-2937
Branford, CT 06405-2937
Phone 203-481-5665
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