Individual
DOTTIE NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 688-2461
Mailing address
16 PEPPERWOOD CT, MADISON, CT 06443-2401
(203) 245-7941
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000732
CT
Other
Enumeration date
05/18/2008
Last updated
05/18/2008
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