Denise Boras Aprn, LLC
Nurse Practitioner in East Lyme, CT. Organization (NPI-2).
NPI number1891472437
StatusActive
Last updated in NPPESJul 20, 2023
Details
- NPI
- 1891472437
- Entity type
- Organization (NPI-2)
- Legal business name
- Denise Boras Aprn, LLC
- Organization subpart
- No
- Enumeration date
- Jul 4, 2023
- Certification date
- Jul 20, 2023
- Last updated
- Jul 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
315 Flanders RdEast Lyme, CT 06333-1711
Phone 860-705-2370
Mailing address
6 Ferro DrEast Lyme, CT 06333-1514
Phone 860-705-2370
Authorized official
Denise Elizabeth Boras
Aprn
8607052370
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