Individual
PATRICIA NEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
118 CLINTON AVE, NEW HAVEN, CT 06513-3199
(203) 668-5974
Mailing address
118 CLINTON AVE, NEW HAVEN, CT 06513-3199
(203) 562-7222
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
E51122
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E51122
VACCINE ADMINISTRATOR
CT
Enumeration date
03/01/2023
Last updated
03/01/2023
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