Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 9342 | CT |
NPI | 1043814379 |
---|---|
Provider Name | Marie Oge-Nerette |
First Address | Shelton, CT 06484-5542 |
Second Address | Shelton, CT 06484-5542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2020 |
Last Update Date | 27/11/2020 |