ASENA DEROHANNESIAN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1043685308- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 425 THORME ST, BRIDGEPORT, CT, 066063418
- Phone
- (203) 275-4115
- Fax
- (203) 275-0198
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: CT #6410