Andrew John Paulson MS, ANP-BC

NPI 1760734552 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1760734552
Gender Male
Enumeration Date 10/04/2012
Last Updated 11/12/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
130 DIVISION ST
DERBY CT, 06418-1326, US
Phone (203) 732-1570
Fax
Business Location
130 DIVISION ST
DERBY CT, 06418-1326, US
Phone (203) 732-1570
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Connecticut
License Number 5173
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According to our database, Mr. Andrew John Paulson MS, ANP-BC NPI is 1760734552, taxonomy code is 363LA2200X and license number is 5173, license state is located at Connecticut. Andrew John Paulson MS, ANP-BC physically located at 130 Division St, Derby CT, 06418-1326. NPI Number Andrew John Paulson MS, ANP-BC has the Individual type.

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1760734552 NPI number is provided on an as is basis without warranty of any kind. 1760734552 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew John Paulson MS, ANP-BC are for informational purposes only.