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Individual

BRANDI LYNN KRASSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
Mailing address
84 SUSAN DR, WESTFIELD, MA 01085-1433
(860) 463-4819

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9815
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9815
APRN LICENSE
CT
Enumeration date
07/28/2021
Last updated
07/28/2021
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