Individual
CHANEL ANDREA OSTASIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 535-4410
Mailing address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 535-4410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E59524
CT
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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