Individual
MS. PAULEEN REYES CONSEBIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
65 HUMISTON DR, BETHANY, CT 06524-3175
(203) 891-5440
Mailing address
65 HUMISTON DR, BETHANY, CT 06524-3175
(203) 891-5440
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
002653
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004081725
—
CT
Enumeration date
12/20/2005
Last updated
09/23/2011
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