Individual provider · Type 1 NPI
Ava Rose Boornazian, APRN
Psychiatric/Mental Health Nurse Practitioner · Waterbury, CT
NPI number
1639105166
Active
Practice location
56 Franklin St
Waterbury, CT 06706-1221
Fax (203) 709-8849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 002444 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1639105166
Ava Rose Boornazian, APRN's National Provider Identifier is 1639105166, issued on Jun 25, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waterbury, CT. The record was last updated on Oct 19, 2021.