Individual
ERIN MEDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIAN'S BUILDING - 2ND FLOOR, NEW HAVEN, CT 06519-1369
(203) 688-4191
(203) 737-2617
Mailing address
800 HOWARD AVE, YALE PHYSICIAN'S BUILDING - 2ND FLOOR, NEW HAVEN, CT 06519-1369
(203) 688-4191
(203) 737-2617
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1586
CT
364SX0200X
Oncology Clinical Nurse Specialist
001586
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004241361
—
CT
Enumeration date
11/29/2005
Last updated
05/30/2018
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