MIRIAM B TANNEN
Advanced Practice Registered Nurse


Address: 796 Camby Road, Millbrook, NY 12545

MIRIAM B TANNEN (Credential# 679132) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.

Business Overview

MIRIAM B TANNEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000951. The credential type is advanced practice registered nurse. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 796 Camby Road, Millbrook, NY 12545. The current status is inactive.

Basic Information

Licensee Name MIRIAM B TANNEN
Credential ID 679132
Credential Number 12.000951
Credential Type Advanced Practice Registered Nurse
Business Address 796 Camby Road
Millbrook
NY 12545
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-07-15
Effective Date 2014-08-01
Expiration Date 2015-07-31
Refresh Date 2015-11-10

Other licenses

ID Credential Code Credential Type Issue Term Status
638694 10.R32155 Registered Nurse 1979-07-19 2014-08-01 - 2015-07-31 INACTIVE

Office Location

Street Address 796 Camby Road
City MILLBROOK
State NY
Zip Code 12545

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Competitor

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City MILLBROOK
Zip Code 12545
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + MILLBROOK

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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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