Diana Vita Jin APRN

NPI 1689805749 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1689805749
Gender Female
Enumeration Date 08/06/2009
Last Updated 06/11/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
400 CAPITAL BLVD
3RD FLOOR
ROCKY HILL CT, 06067-3576, US
Phone (860) 560-6979
Fax (860) 702-9446
Business Location
400 CAPITAL BLVD
3RD FLOOR
ROCKY HILL CT, 06067-3576, US
Phone (860) 560-6979
Fax (860) 284-5333
Toxanomy
Taxonomy Code 363L00000X
License State Connecticut
License Number 079024
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According to our database, Diana Vita Jin APRN NPI is 1689805749, taxonomy code is 363L00000X and license number is 079024, license state is located at Connecticut. Diana Vita Jin APRN physically located at 400 Capital Blvd, Rocky Hill CT, 06067-3576. NPI Number Diana Vita Jin APRN has the Individual type.

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1689805749 NPI number is provided on an as is basis without warranty of any kind. 1689805749 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Vita Jin APRN are for informational purposes only.