Individual
MRS. MADONNA KAY FASULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
100 YORK ST STE 2J, NEW HAVEN, CT 06511-5664
(203) 764-9131
(203) 764-5963
Mailing address
100 YORK ST STE 2J, NEW HAVEN, CT 06511-5664
(203) 764-9131
(203) 764-5963
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
002435
CT
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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