Individual
MS. BETH ANN J PODSOBINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
490 JEFFERSON ST, NEW LONDON HIGH SCHOOL-BASED HEALTH CENTER, NEW LONDON, CT 06320
(860) 701-3771
(860) 701-3771
Mailing address
34 THIRD AVE, WATERFORD, CT 06385
(860) 437-0446
(860) 701-3776
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
001412
CT
363LP0200X
Pediatric Nurse Practitioner
TP003699N
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001412
CT
Other
Enumeration date
07/29/2006
Last updated
03/07/2023
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