Individual
SUSANNA DAHL CRONMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P, APRN
Contact information
Practice address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(203) 502-8400
Mailing address
537 CASCADE DR, FAIRFIELD, CT 06825-2300
(585) 315-4655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
335939
NY
363LF0000X
Family Nurse Practitioner
Primary
7034
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03421996
—
NY
Enumeration date
10/14/2009
Last updated
02/28/2018
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