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DARIA S KIERNAN PMHNP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1841471638

Individual Registrant:
 DARIA S KIERNAN PMHNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8 TITUS RD CONNECTICUT THERAPY ASSOCIATES, LLC WASHINGTON DEPOT, CT 06794-1517 US
Tel: 860-868-0857  Fax: --

Contact information for business:
10 BEAR RUN  WOODBURY, CT 06798-3334 US
Tel: 203-263-4397  Fax: --

Registration Information:
NPI: 1841471638
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CT003151

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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