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NPI Code Detail

MEDICARE: MS. MARCINE BUREY

MEDICARE: MS. MARCINE BUREY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner10183CT

General Provider Information

NPI Number : 1255050522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARCINE BUREY
Provider Business Mailing Address
First Line : 499 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-1943
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 499 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-1943
Country : US
Telephone Number : 860-678-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2022
Last Update Date : 06/07/2026

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Directions to “ MS. MARCINE BUREY ” Practice Location

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