Individual
GERALYN R SPOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
789 HOWARD AVE, DANA BUILDING, 3RD FL, NEW HAVEN, CT 06519-1304
(203) 737-1932
(203) 785-3588
Mailing address
789 HOWARD AVE, DANA BUILDING, 3RD FL, NEW HAVEN, CT 06519-1304
(203) 737-1932
(203) 785-3588
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000712
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212049
—
CT
Enumeration date
12/01/2005
Last updated
04/06/2011
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