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Keys2memory, Llc
Gerontology Nurse Practitioner in Mystic, Connecticut
NPI 1043567647

Keys2memory, Llc is a Gerontology Nurse Practitioner based in Mystic, CT and is specialized in Gerontology. Keys2memory, Llc practices in Mystic, CT. The NPI Number for Keys2memory, Llc is 1043567647 and holds a License No. 002017 (Connecticut).

The current practice location address for Keys2memory, Llc is 20 Burrows St, Mystic, CT and can be reached out via phone at 860-245-4144 and via fax at 860-245-4145.

Location: 20 Burrows St, Mystic, CT, 06355-0625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043567647
Provider Name
Keys2memory, Llc
Credential
Provider Entity Type
Organization
Address
20 Burrows St, Mystic, CT, 06355-0625
Phone Number
860-245-4144
Fax Number
860-245-4145
Provider Enumeration Date
08/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004020178 05 CT
institution
Provider Business Practice Location Address Details
Address
20 Burrows St
City
Mystic
State
Connecticut
Zip
06355-2445
Phone Number
860-245-4144
Fax Number
860-245-4145
person
Provider Business Mailing Address Details
Address
20 Burrows St
City
Mystic
State
Connecticut
Zip
06355-2445
Phone Number
860-245-4144
Fax Number
860-245-4145
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
002017 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
002017 (Connecticut)
Definition
Definition to come...
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