Susan Katheryn Demicco CRNA

NPI 1790706257 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1790706257
Gender Female
Enumeration Date 07/21/2006
Last Updated 02/22/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
831 BOSTON POST RD
STE. 670
MILFORD CT, 06460-3536, US
Phone (203) 783-1831
Fax
Business Location
831 BOSTON POST RD
STE. 670
MILFORD CT, 06460-3536, US
Phone (203) 783-1831
Fax
Toxanomy
Taxonomy Code 367500000X
License State Rhode Island
License Number RNA21303
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According to our database, Susan Katheryn Demicco CRNA NPI is 1790706257, taxonomy code is 367500000X and license number is RNA21303, license state is located at Rhode Island. Susan Katheryn Demicco CRNA physically located at 831 Boston Post Rd, Milford CT, 06460-3536. NPI Number Susan Katheryn Demicco CRNA has the Individual type.

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1790706257 NPI number is provided on an as is basis without warranty of any kind. 1790706257 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Katheryn Demicco CRNA are for informational purposes only.