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Individual

MS. ELLEN VILLASENOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2293
(203) 855-3985
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2293
(203) 855-3985

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001945
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001945
APRN LICENSE NUMBER
CT
Enumeration date
12/28/2006
Last updated
03/07/2023
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