person
Kelly M Bucci-didomenico
Family Nurse Practitioner in Bridgeport, Connecticut
NPI 1568795094

Kelly M Bucci-didomenico is a Family Nurse Practitioner based in Bridgeport, CT and is specialized in Family. Kelly M Bucci-didomenico practices in Bridgeport, CT. The NPI Number for Kelly M Bucci-didomenico is 1568795094 and holds a License No. 1809 (Connecticut).

The current practice location address for Kelly M Bucci-didomenico is 479 Helen St, Bridgeport, CT and can be reached out via phone at 203-579-8310 and via fax at 203-683-3620.

Location: 479 Helen St, Bridgeport, CT, 06608-2409
person
Provider Profile Details
NPI Number
1568795094
Provider Name
Kelly M Bucci-didomenico
Credential
Provider Entity Type
Individual
Gender
Female
Address
479 Helen St, Bridgeport, CT, 06608-2409
Phone Number
203-579-8310
Fax Number
203-683-3620
Provider Enumeration Date
09/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004234788 05 CT
institution
Provider Business Practice Location Address Details
Address
479 Helen St
City
State
Zip
06608-1321
Phone Number
203-579-8310
Fax Number
203-683-3620
person
Provider Business Mailing Address Details
Address
479 Helen St
City
State
Zip
06608-1321
Phone Number
203-579-8310
Fax Number
203-683-3620
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1809 (Connecticut)
Definition
Definition to come...
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