NPI 1033328752

Nancy Lynn Gordon-Green, RNMA

Practitioner Adult Psychiatric/Mental Health Registered Nurse Manchester, CT

Practice location

Address: 483 Middle Tpke W Suite #205, Manchester, CT 06040-3863
Phone: (860) 646-3382
Fax: (860) 632-0622

Registered specialties

Adult Psychiatric/Mental Health Registered Nurse Primary

Nursing Service Providers Taxonomy 163WP0809X Licence E54252 (CT)

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Registry record

NPI: 1033328752
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.