| Doctor Name: | DENISE PRATT |
| NPI Number: | 1003863044 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 001663 |
| Business Practice Address: | 134 Grandview Ave Suite 210 Waterbury, CT - 067082507 |
| Business Phone Number: | 2037542535 |
| Business Fax Number: | 2037569921 |
| Mailing Address: | 134 Grandview Ave, Suite 210 WATERBURY |
| State: | CT |
| Postal Code: | 067082507 |
| Phone Number: | 2037542535 |
| Fax Number: | 2037569921 |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 001663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |