Individual
VANESSA MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
54 E RAMSDELL ST, NEW HAVEN, CT 06515-1140
(203) 337-9943
(203) 387-6533
Mailing address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5946
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118157
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003745
—
CT
05
—
008023170
—
CT
05
—
008024427
—
CT
Enumeration date
07/17/2014
Last updated
01/24/2022
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