Individual
GAYLE JEAN ROUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 ASYLUM AVE, HARTFORD, CT 06105-1770
(860) 522-3711
Mailing address
1000 ASYLUM AVE, HARTFORD, CT 06105-1770
(860) 522-3711
(860) 493-1885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7419
CT
363LA2200X
Adult Health Nurse Practitioner
7419
CT
Other
Enumeration date
01/16/2018
Last updated
05/07/2019
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