Individual provider · Type 1 NPI

Ananias Gloria Iii, NP

Gerontology Nurse Practitioner · Middletown, CT

NPI number 1043091408 Active

Practice location

101 Centerpoint Dr Ste 215
Middletown, CT 06457-7568

Fax (888) 662-0859

Mailing address

41 Grieb Trl
Wallingford, CT 06492-2655

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X12.012499 (CT)
Gerontology Nurse Practitioner Primary 363LG0600X12.012499 (CT)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1043091408

Ananias Gloria Iii, NP's National Provider Identifier is 1043091408, issued on Oct 11, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Middletown, CT. The record was last updated on Mar 11, 2024.