Individual
SUSAN MARIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
18 LAKE ST, HAMDEN, CT 06517-2315
(203) 530-4634
Mailing address
18 LAKE ST, HAMDEN, CT 06517-2315
(203) 230-2831
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
001723
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1723
CT
Other
Enumeration date
03/23/2007
Last updated
07/06/2022
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