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Ms. DEBRA M DIVENERE -- APRN, CPNP

Individual Provider (NPI-1) Active

Nurse Practitioner, Pediatrics

Provider Information

NPI Number
1376559492
Provider Type
Individual Provider (NPI-1)
Credentials
APRN, CPNP
Status
Active

Contact & Location

Address
134 GRANDVIEW AVE SUITE 208, WATERBURY, CT, 067082507
Phone
(203) 755-3279
Fax
(203) 755-3057

Specialties & Taxonomies

Nurse Practitioner, Pediatrics Primary License: CT #0002590

All Addresses

MAILING

25 WINSTON CT

BRISTOL, CT, 060102691

(860) 585-7063

LOCATION

134 GRANDVIEW AVE SUITE 208

WATERBURY, CT, 067082507

(203) 755-3279