Individual
NINA S MAKARIDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HSN, APRN
Contact information
Practice address
34 PARK STREET, 2ND FLOOR OUTPATIENT, NEW HAVEN, CT 06519
(203) 974-7371
(203) 974-7322
Mailing address
34 PARK STREET, 2ND FLOOR OUTPATIEN DEPARTMENT, NEW HAVEN, CT 06519
(203) 974-7371
(203) 974-7322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004663
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4663
CT
Other
Enumeration date
07/26/2011
Last updated
06/28/2013
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