Department of Public Health
Board of Nursing
KERRY PROVIDENCE
Registered Nurse
License number
79522
Date granted
08/03/2006
Date expires
05/31/2015
Class
Registered Nurse
Status
Active
Address
16 PEARL ST, Hartford, Windsor Locks, CT, 06096
nursingct.org
ID 4459773
LAST UPDATED 2026-04-28 07:49:14 UTC
LAST UPDATED 2026-04-28 07:49:14 UTC
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