NPI 1417268707

Maristane a Tedesco, CNA

Practitioner Nurse's Aide Oakville, CT

Practice location

Address: 34 Park Ave, Oakville, CT 06779-2108
Phone: (860) 417-2200

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence NA9987089 (CT)

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Registry record

NPI: 1417268707
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2010
Record last updated: 1 Jul 2010

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.