Individual
MRS. MARJORIE MATHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
510 CLINTON AVE, BRIDGEPORT, CT 06605-1701
(203) 330-6000
Mailing address
21 OLD GREEN RD, TRUMBULL, CT 06611-4027
(845) 636-3505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
343639
NY
363LF0000X
Family Nurse Practitioner
Primary
8087
CT
Other
Enumeration date
09/26/2018
Last updated
02/28/2022
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