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MS. AUDREY A ALLEN APRN

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1710232947

Individual Registrant:
MS. AUDREY A ALLEN APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
365 MONTAUK AVE  NEW LONDON, CT 06320-4700 US
Tel: 860-442-0711  Fax: --

Contact information for business:
365 MONTAUK AVE  NEW LONDON, CT 06320-4700 US
Tel: 860-442-0711  Fax: --

Registration Information:
NPI: 1710232947
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
CT004996

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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