Individual
MISS SUSAN CLAIRE DICKENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK STREET, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06504
(203) 688-2323
(203) 785-5833
Mailing address
1322 AVON BOULEVARD, CHESHIRE, CT 06410
(203) 271-0048
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
003361
CT
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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