Individual
DAEDLY POTUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2200 WHITNEY AVE STE 290, HAMDEN, CT 06518-3695
(203) 903-8308
(203) 599-3927
Mailing address
2661 WHITNEY AVENUE, HAMDEN, CT 06518
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8133
CT
Other
Enumeration date
03/14/2019
Last updated
11/20/2024
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