Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | 6879 | CT |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 6879 | CT |
NPI | 1649710559 |
---|---|
Provider Name | Frances Burrier |
First Address | Bloomfield, CT 06002-2256 |
Second Address | Bloomfield, CT 06002-2256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2017 |
Last Update Date | 12/12/2019 |