JEANNIE DILWORTH LLC NPI 1285011361

NPI Information

JEANNIE DILWORTH, LLC is a psychiatric/mental health nurse practitioner in South Windsor, CT. JEANNIE DILWORTH, LLC NPI is 1285011361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

925 SULLIVAN AVE
UNIT 2
SOUTH WINDSOR, CT
ZIP 06074-025
Phone: (860) 432-7771
Fax: (860) 432-7774

The provider's authorized official is Krista Hiller .
The authorized official title is Manager and has the following contact phone number (860) 432-7771.

The enumeration date for this NPI number is 4/28/2015 and was last updated on 7/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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