Most Relevant Information
Provider Data
NPI Number: | 1003491036 |
Provider Name: | KRISTINA MARIA DECONTI APRN |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 9568 |
Most Important Dates
Enumeration Date: | 03/11/2021 |
Last Updated: | 06/24/2021 |
Provider Practice Location
893 MAIN ST
EAST HARTFORD
CT
061082292
Practice Location Phone/Fax
Phone: | 8605284124 |
Fax: |
Provider Mailing Location
81 BEACON ST
NEWINGTON
CT
061114703
Provider Mailing Phone/Fax
Phone: | 8608199144 |
Fax: |