Individual
MARIE HETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
333 CEDAR ST # TE2, NEW HAVEN, CT 06510-3206
(203) 785-5253
(203) 737-1688
Mailing address
PO BOX 208042, SOUTH PAVILION 2-213, NEW HAVEN, CT 06520-8042
(203) 785-7026
(203) 737-1077
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
004189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4189
APRN CT LIC#
CT
Enumeration date
09/11/2009
Last updated
07/18/2016
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