Individual
JESSICA MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
250 HOLLISTER AVE, BRIDGEPORT, CT 06607-1924
(203) 520-1107
Mailing address
88 CAMPFIELD DR, FAIRFIELD, CT 06825-3720
(203) 520-1107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
088923
CT
363LF0000X
Family Nurse Practitioner
Primary
005285
CT
Other
Enumeration date
05/20/2014
Last updated
07/21/2022
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