Individual
SVETLANA MUSHEYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(917) 750-0364
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(917) 750-0364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
553440
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
005297
CT
363LA2100X
Acute Care Nurse Practitioner
430613
NY
Other
Enumeration date
09/07/2011
Last updated
09/19/2022
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