Individual
MAURREN LOUISE LOUGHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
60 TEMPLE ST, 7F, NEW HAVEN, CT 06510-2716
(203) 789-1338
(203) 789-1478
Mailing address
60 TEMPLE ST, 7F, NEW HAVEN, CT 06510-2716
(203) 789-1338
(203) 789-1478
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
003190
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003190
STATE LICENSE
CT
01
—
0037102
CONTROLLED SUBSTANCE
CT
01
—
E46355
RN LICENSE
CT
Enumeration date
10/17/2011
Last updated
10/17/2011
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