Individual
MOLLY ELIZABETH RENEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 WASHINGTON AVE, NORTH HAVEN, CT 06473-1711
(203) 239-4071
Mailing address
162 WASHINGTON AVE, NORTH HAVEN, CT 06473-1711
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169260
CT
363LF0000X
Family Nurse Practitioner
Primary
9065
CT
Other
Enumeration date
06/29/2020
Last updated
08/04/2020
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