EVIE T IYAMU-OSAGIE
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1972168631- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 345 N MAIN ST STE 248, WEST HARTFORD, CT, 061172508
- Phone
- (860) 231-8345
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: CT #12.007946