Individual
TAYISHA REBECCA ST. VIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
345 WHITNEY AVE, NEW HAVEN, CT 06511-2348
(203) 503-0450
Mailing address
345 WHITNEY AVE, NEW HAVEN, CT 06511-2348
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
13149
CT
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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