Individual
NICOLE BREAZEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST DEPT OF, NEW HAVEN, CT 06510-3220
(203) 785-2802
Mailing address
333 CEDAR ST # TMP3, NEW HAVEN, CT 06510-3206
(203) 785-2802
(203) 785-6664
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7728
CT
Other
Enumeration date
01/14/2016
Last updated
08/03/2018
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