Avalon Dibner Fennessey CPNP-PC

NPI 1487083978 - Registered Nurse - 163W00000X

NPI Details
NPI 1487083978
Gender Female
Enumeration Date 11/05/2013
Last Updated 09/30/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
120 CONNECTICUT AVE
NORWALK CT, 06854-1525, US
Phone (203) 899-1770
Fax
Business Location
120 CONNECTICUT AVE
NORWALK CT, 06854-1525, US
Phone (203) 899-1770
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Connecticut
License Number 113331
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According to our database, Mrs. Avalon Dibner Fennessey CPNP-PC NPI is 1487083978, taxonomy code is 163W00000X and license number is 113331, license state is located at Connecticut. Avalon Dibner Fennessey CPNP-PC physically located at 120 Connecticut Ave, Norwalk CT, 06854-1525. NPI Number Avalon Dibner Fennessey CPNP-PC has the Individual type.

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1487083978 NPI number is provided on an as is basis without warranty of any kind. 1487083978 is maintained by the National Plan & Provider Enumeration System. The contents of Avalon Dibner Fennessey CPNP-PC are for informational purposes only.