Individual
NICKESHA MARIE BROWN-FOKUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
755 CAMPBELL AVE, WEST HAVEN, CT 06516-3789
(203) 937-1100
Mailing address
755 CAMPBELL AVE, WEST HAVEN, CT 06516-3789
(203) 937-1100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12796
CT
363LF0000X
Family Nurse Practitioner
Primary
12796
CT
Other
Enumeration date
01/17/2024
Last updated
03/07/2024
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