Individual
DEBRA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
232 CEDAR ST, NEW HAVEN, CT 06519-1610
(203) 503-3300
(203) 781-0276
Mailing address
913 STATE ST, NEW HAVEN, CT 06511-3926
(203) 503-3351
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R45126
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
05
—
004235918
—
CT
Enumeration date
06/28/2011
Last updated
06/28/2011
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