Individual
ALEXANDRIA NICOLE DEISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 735-7421
Mailing address
22 CONHURST DR, NORTH HAVEN, CT 06473-3566
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12215
CT
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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