Individual provider · Type 1 NPI

Alisa B. Bray, APRN

Family Nurse Practitioner · Willimantic, CT

NPI number 1720620065 Active

Practice location

112 Mansfield Ave
Willimantic, CT 06226-2045

Mailing address

257 Back Rd
Windham, CT 06280-1207

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000X8551 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1720620065

Alisa B. Bray, APRN's National Provider Identifier is 1720620065, issued on Oct 8, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Willimantic, CT. The record was last updated on Dec 11, 2019.