Individual
TERESA HUSCHART WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
142 WALNUT TREE HILL RD, SHELTON, CT 06484-2521
(203) 666-9065
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
8462
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336139500
—
CT
Enumeration date
12/12/2019
Last updated
12/12/2019
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