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Kathleen M Balantic, APRN
Adult Health Nurse Practitioner in Groton, Connecticut
NPI 1568525921

Kathleen M Balantic is an Adult Health Nurse Practitioner based in Groton, CT and is specialized in Adult Health. Kathleen M Balantic practices in Groton, CT and has the professional credentials of APRN. The NPI Number for Kathleen M Balantic is 1568525921 and holds a License No. 6429 (Connecticut).

The current practice location address for Kathleen M Balantic is 75 Eastern Point Rd, Groton, CT and can be reached out via phone at 860-833-9390.

Location: 75 Eastern Point Rd, Groton, CT, 06340-4905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568525921
Provider Name
Kathleen M Balantic
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
75 Eastern Point Rd, Groton, CT, 06340-4905
Phone Number
860-833-9390
Fax Number
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004190302 05 CT
050001247CT01 01 CT ANTHEM BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
75 Eastern Point Rd
City
Groton
State
Connecticut
Zip
06340-4905
Phone Number
860-833-9390
Fax Number
person
Provider Business Mailing Address Details
Address
75 Eastern Point Rd
City
Groton
State
Connecticut
Zip
06340-4905
Phone Number
860-833-9390
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
6429 (Connecticut)
Definition
Definition to come...
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