Individual
MS. NADIA MARIA FADLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 HOWARD AVE, LOWER LEVEL, NEW HAVEN, CT 06519-1369
(203) 737-2096
(203) 785-2044
Mailing address
333 CEDAR ST TMP 4, YALE UNIVERSITY, NEW HAVEN, CT 06510-3206
(203) 737-2096
(203) 785-2044
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6559
CT
363LA2200X
Adult Health Nurse Practitioner
RN168130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008067268
—
CT
Enumeration date
02/23/2012
Last updated
10/06/2016
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