Individual provider · NPI-1

Annel Alcantara, NP

Nurse Practitioner · Bridgeport, CT

NPI number1922838630
StatusActive
Last updated in NPPESAug 6, 2024

Details

NPI
1922838630
Entity type
Individual (NPI-1)
Name
Annel Alcantara
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 6, 2024
Certification date
Aug 6, 2024
Last updated
Aug 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner2024026924CTYes

Practice location

97 Pond St
Bridgeport, CT 06606-4832

Phone 203-290-7957

Mailing address

97 Pond St
Bridgeport, CT 06606-4832

Phone 203-290-7957

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