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Jaimee Taylor Dizenzo
Student in an Organized Health Care Education/Training Program in Southington, Connecticut
NPI 1942983960

Jaimee Taylor Dizenzo is a Student in an Organized Health Care Education/Training Program based in Southington, CT. Jaimee Taylor Dizenzo practices in Southington, CT. The NPI Number for Jaimee Taylor Dizenzo is 1942983960 and holds a License No. 12251 (Connecticut).

The current practice location address for Jaimee Taylor Dizenzo is 249 Spring Lake Rd, Southington, CT and can be reached out via phone at 860-681-1646.

Location: 249 Spring Lake Rd, Southington, CT, 06489-4426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942983960
Provider Name
Jaimee Taylor Dizenzo
Credential
Provider Entity Type
Individual
Gender
Female
Address
249 Spring Lake Rd, Southington, CT, 06489-4426
Phone Number
860-681-1646
Fax Number
Provider Enumeration Date
08/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
249 Spring Lake Rd
City
Southington
State
Connecticut
Zip
06489-4426
Phone Number
860-681-1646
Fax Number
person
Provider Business Mailing Address Details
Address
249 Spring Lake Rd
City
Southington
State
Connecticut
Zip
06489-4426
Phone Number
860-681-1646
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
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.
12251 (Connecticut)
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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