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Individual

MARY HEERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2757
(203) 855-3876
Mailing address
34 MAPLE STREET, SMILOW BREAST CARE CENTER - NORWALK HOSPITAL, NORWALK, CT 06856
(203) 852-2757
(203) 855-3876

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4008
CT
364SX0200X
Oncology Clinical Nurse Specialist
004008
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004008
CT LICENSE NO.
CT
Enumeration date
09/14/2010
Last updated
03/20/2023
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