Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 004205 | CT |
NPI | 1366778268 |
---|---|
Provider Name | Mrs. Erin Pugliese Vlahakis |
First Address | West Hartford, CT 06107-1750 |
Second Address | Hartford, CT 06106-3322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2009 |
Last Update Date | 11/12/2012 |