Audrey Bakanauskas APRN

NPI 1023010634 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1023010634
Gender Female
Enumeration Date 08/12/2005
Last Updated 02/17/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
114 WOODLAND ST
CARDIOLOGY
HARTFORD CT, 06105-1208, US
Phone (860) 714-4161
Fax (860) 714-8001
Business Location
1000 ASYLUM AVE
SUITE 2109A
HARTFORD CT, 06105-1770, US
Phone (860) 714-6581
Fax (860) 714-8311
Toxanomy
Taxonomy Code 363L00000X
License State Connecticut
License Number 001638
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According to our database, Audrey Bakanauskas APRN NPI is 1023010634, taxonomy code is 363L00000X and license number is 001638, license state is located at Connecticut. Audrey Bakanauskas APRN physically located at 114 Woodland St, Hartford CT, 06105-1208. NPI Number Audrey Bakanauskas APRN has the Individual type.

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1023010634 NPI number is provided on an as is basis without warranty of any kind. 1023010634 is maintained by the National Plan & Provider Enumeration System. The contents of Audrey Bakanauskas APRN are for informational purposes only.