Individual
MRS. KATHLEEN PATRICIA CARIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
340 CAPITOL AVE, BRIDGEPORT, CT 06606-5412
(203) 367-5589
(203) 330-0830
Mailing address
340 CAPITOL AVE, BRIDGEPORT, CT 06606-5412
(203) 367-5589
(203) 330-0830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R35259
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003880
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040655
—
CT
Enumeration date
03/26/2007
Last updated
11/05/2008
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