Individual
MARISOL ORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
(203) 777-8506
Mailing address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
(203) 777-8506
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9312
CT
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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