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Individual

MRS. CHERYL ANN FUSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
2 OLD NEW MILFORD RD, SUITE 2A, BROOKFIELD, CT 06804-2426
(203) 775-3282
(203) 775-3282
Mailing address
2 OLD NEW MILFORD RD, SUITE 2A LANDMARK OFFICE BUILDING, BROOKFIELD, CT 06804-2426
(203) 775-3282
(203) 775-3478

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
E38542
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
006329
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008062761
CT
01
194751
MHN
01
P3535391
OXFORD
Enumeration date
09/14/2006
Last updated
02/28/2025
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