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MEREDITH CARNELLI

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

Registrant NPI Number: 1477918894

Individual Registrant:
 MEREDITH  CARNELLI 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1291 BOSTON POST RD SUITE 105 MADISON, CT 06443-3476 US
Tel: 203-245-1413  Fax: 860-358-8655

Contact information for business:
28 CRESCENT ST  MIDDLETOWN, CT 06457-3654 US
Tel: 860-358-4820  Fax: 860-358-8661

Registration Information:
NPI: 1477918894
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CT006402

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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