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Virginia Hannon, APRN
Gerontology Nurse Practitioner in Southbury, Connecticut
NPI 1780776344

Virginia Hannon is a Gerontology Nurse Practitioner based in Southbury, CT and is specialized in Gerontology. Virginia Hannon practices in Southbury, CT and has the professional credentials of APRN. The NPI Number for Virginia Hannon is 1780776344 and holds a License No. 001429 (Connecticut).

The current practice location address for Virginia Hannon is 22 Old Waterbury Rd, Southbury, CT and can be reached out via phone at 203-262-4244.

Location: 22 Old Waterbury Rd, Southbury, CT, 06488-3848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780776344
Provider Name
Virginia Hannon
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
22 Old Waterbury Rd, Southbury, CT, 06488-3848
Phone Number
203-262-4244
Fax Number
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00268688 01 CT RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
22 Old Waterbury Rd
City
Southbury
State
Connecticut
Zip
06488-3848
Phone Number
203-262-4244
Fax Number
person
Provider Business Mailing Address Details
Address
22 Old Waterbury Rd
City
Southbury
State
Connecticut
Zip
06488-3848
Phone Number
203-262-4244
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
001429 (Connecticut)
Definition
Definition to come...
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