Individual
MR. ANTHONY FITZGERALD PAREDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
Mailing address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169997
CT
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN2328798
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
8974
CT
363LP2300X
Primary Care Nurse Practitioner
RN2328798
MA
Other
Enumeration date
06/16/2020
Last updated
12/06/2023
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