Moran, Andrea

Moran, Andrea is an individual health care provider with primary practice located at 263 Farmington Ave Cancer Center, Farmington CT 06030-2875. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moran, Andrea can be contacted via phone (860) 679-2100.

Contact Information

Primary practice address
263 Farmington Ave Cancer Center Farmington CT 06030-2875
Phone: (860) 679-2100
Fax: (860) 679-4815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 002999 Connecticut

Profile Details

NPI number 1801897418
LBN Legal business name Moran, Andrea
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Sep 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801897418 NPPES
Connecticut MEDICAID 1801897418

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