Individual provider · Type 1 NPI
Karen Ann Alicea
Primary Care Nurse Practitioner · Bridgeport, CT
NPI number
1225545874
Active
Practice location
267 Grant St
Bridgeport, CT 06610-2805
Mailing address
74 Doris Dr
Monroe, CT 06468-2109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 7355 (CT) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1225545874
Karen Ann Alicea's National Provider Identifier is 1225545874, issued on Jan 4, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bridgeport, CT. The record was last updated on Jan 4, 2018.