Individual
MS. INGEBORG JOHANNSSEN-SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
41 KENOSIA AVE, SUITE 201, DANBURY, CT 06810-7360
(203) 744-2243
(203) 798-1513
Mailing address
34 OLD FARM RD, NEW FAIRFIELD, CT 06812-2623
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001502
CT
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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