Individual
LEAH ELIZABETH WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1308 CHAPEL ST, NEW HAVEN, CT 06511-4515
(203) 865-5111
Mailing address
1308 CHAPEL ST, NEW HAVEN, CT 06511-4515
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5566
CT
363LG0600X
Gerontology Nurse Practitioner
5566
CT
Other
Enumeration date
03/18/2014
Last updated
08/27/2015
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