Individual
MR. HAAKON RONALD WEYEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
145 CANAL ST UNIT 502, SHELTON, CT 06484-8114
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
02022
CT
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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