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Kathryn Ann Fallon, NURSEPRACTITIONER
Family Nurse Practitioner in Old Lyme, Connecticut
NPI 1316129455

Kathryn Ann Fallon is a Family Nurse Practitioner based in Old Lyme, CT and is specialized in Family. Kathryn Ann Fallon practices in Old Lyme, CT and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Kathryn Ann Fallon is 1316129455 and holds a License No. 002085 (Connecticut).

The current practice location address for Kathryn Ann Fallon is 8 Ascot Ln, Old Lyme, CT and can be reached out via phone at 860-434-1008.

Location: 8 Ascot Ln, Old Lyme, CT, 06371-1870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316129455
Provider Name
Kathryn Ann Fallon
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
8 Ascot Ln, Old Lyme, CT, 06371-1870
Phone Number
860-434-1008
Fax Number
Provider Enumeration Date
11/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8 Ascot Ln
City
Old Lyme
State
Connecticut
Zip
06371-1870
Phone Number
860-434-1008
Fax Number
person
Provider Business Mailing Address Details
Address
8 Ascot Ln
City
Old Lyme
State
Connecticut
Zip
06371-1870
Phone Number
860-434-1008
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
002085 (Connecticut)
Definition
Definition to come...
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