Individual
HEATHER CERASALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
500 ELM ST, WEST HAVEN, CT 06516-4233
(203) 479-3600
Mailing address
PO BOX 415126, BOSTON, MA 02241-5126
(203) 479-3600
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
106340
CT
363LF0000X
Family Nurse Practitioner
Primary
7300
CT
Other
Enumeration date
10/20/2017
Last updated
04/23/2024
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