Individual
ODETH ALICIA HYLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
687 CAMPBELL AVE, WEST HAVEN, CT 06516-3774
(203) 932-6481
Mailing address
160 SHANLEY ST, STRATFORD, CT 06615-6920
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7291
CT
363LP2300X
Primary Care Nurse Practitioner
7291
CT
Other
Enumeration date
10/17/2017
Last updated
06/24/2022
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