CAROL DIFAZIO APRN
Advanced Practice Registered Nurse


Address: Po Box 812, Glastonbury, CT 06033

CAROL DIFAZIO APRN (Credential# 679361) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 16, 2005. The license expiration date date is August 31, 2006. The license status is INACTIVE.

Business Overview

CAROL DIFAZIO APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001181. The credential type is advanced practice registered nurse. The effective date is June 16, 2005. The expiration date is August 31, 2006. The business address is Po Box 812, Glastonbury, CT 06033. The current status is inactive.

Basic Information

Licensee Name CAROL DIFAZIO APRN
Credential ID 679361
Credential Number 12.001181
Credential Type Advanced Practice Registered Nurse
Business Address Po Box 812
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-09-22
Effective Date 2005-06-16
Expiration Date 2006-08-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
611313 10.E40776 Registered Nurse 1978-09-15 2005-06-16 - 2006-08-31 INACTIVE
165024 CSP.0024071 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-03-01 - 2002-02-28 INACTIVE

Office Location

Street Address PO BOX 812
City GLASTONBURY
State CT
Zip Code 06033

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Competitor

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City GLASTONBURY
Zip Code 06033
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + GLASTONBURY

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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