Individual
MRS. MARYELLEN PACHLER PACHLER KENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
399 EAST PUTNAM AVE., 2ND FLOOR SUITE #1, COS COB, CT 06807
(860) 478-4134
(203) 769-1366
Mailing address
399 EAST PUTNAM AVE., 2ND FLOOR SUITE #1, COS COB, CT 06807
(860) 478-4134
(203) 769-1366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CTAPRN003159
CT
363LP0200X
Pediatric Nurse Practitioner
003159
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
003159
CT
Other
Enumeration date
03/30/2007
Last updated
11/29/2010
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