Individual
MS. MARY LOU FUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
495 CONGRESS AVE, 3RD FLOOR, NEW HAVEN, CT 06519-1312
(203) 781-4640
Mailing address
297 NECK RD, MADISON, CT 06443-2755
(203) 245-9106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002160
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002160
CT LICENSE
CT
Enumeration date
03/30/2007
Last updated
03/07/2023
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