Most Relevant Information
Provider Data
| NPI Number: | 1003417452 |
| Provider Name: | MAFE DUYAN RATO APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 9118 |
Most Important Dates
| Enumeration Date: | 11/03/2020 |
| Last Updated: | 11/03/2020 |
Provider Practice Location
624 W WEST MAIN ST
ST 140
NORWICH
CT
06360
Practice Location Phone/Fax
| Phone: | 8602008098 |
| Fax: |
Provider Mailing Location
624 W MAIN ST STE 140
NORWICH
CT
063606043
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |