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DEBRA CARLSON BOND APRN
Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1851450233
Individual Registrant: DEBRA CARLSON BOND APRN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
10 MAIN ST CHESHIRE ACADEMY HEALTH CENTER CHESHIRE, CT 06410-2403 US
Tel: 203-439-7280 Fax: 203-439-7113
Tel: 203-439-7280 Fax: 203-439-7113
Contact information for business:
493 BUCKLAND DR CHESHIRE, CT 06410-4147 US
Tel: 203-271-2384 Fax: --
Tel: 203-271-2384 Fax: --
Registration Information:
NPI: 1851450233
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics | CT | 000969 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
