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Alisa B Bray, APRN
Family Nurse Practitioner in Willimantic, Connecticut
NPI 1720620065

Alisa B Bray is a Family Nurse Practitioner based in Windham, CT and is specialized in Family. Alisa B Bray practices in Willimantic, CT and has the professional credentials of APRN. The NPI Number for Alisa B Bray is 1720620065 and holds a License No. (Connecticut).

The current practice location address for Alisa B Bray is 112 Mansfield Ave, Willimantic, CT and can be reached out via phone at 860-456-9116.

Location: 112 Mansfield Ave, Willimantic, CT, 06280-1207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720620065
Provider Name
Alisa B Bray
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
112 Mansfield Ave, Willimantic, CT, 06280-1207
Phone Number
860-456-9116
Fax Number
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 Mansfield Ave
City
Willimantic
State
Connecticut
Zip
06226-2045
Phone Number
860-456-9116
Fax Number
person
Provider Business Mailing Address Details
Address
112 Mansfield Ave
City
Willimantic
State
Connecticut
Zip
06226-2045
Phone Number
860-456-9116
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
8551 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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