Individual
MARZENA GRYCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 WILLARD AVE # 506, NEWINGTON, CT 06111-2631
(860) 256-1553
(860) 667-6799
Mailing address
555 WILLARD AVE # 506, NEWINGTON, CT 06111-2631
(860) 256-1553
(860) 667-6799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004919
CT
363LF0000X
Family Nurse Practitioner
Primary
004919
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004049193
—
CT
Enumeration date
02/27/2013
Last updated
04/07/2023
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