Provider Demographics
NPI:1942550991
Name:AJRO, ANTIGONA M (APRN)
Entity type:Individual
Prefix:MRS
First Name:ANTIGONA
Middle Name:M
Last Name:AJRO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:333 KENNEDY DR
Mailing Address - Street 2:SUITE L201
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-3060
Mailing Address - Country:US
Mailing Address - Phone:860-482-0261
Mailing Address - Fax:860-482-6301
Practice Address - Street 1:333 KENNEDY DR
Practice Address - Street 2:SUITE L201
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-3060
Practice Address - Country:US
Practice Address - Phone:860-482-0261
Practice Address - Fax:860-482-6301
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2013-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT005073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily