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Individual

MS. MEREDITH WALLACE KAZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, APRN-BC

Contact information

Practice address
52 WASHINGTON AVE, SUITE 4, NORTH HAVEN, CT 06473-1724
(203) 672-2800
(203) 672-2801
Mailing address
842 EDGEWOOD AVE, NEW HAVEN, CT 06515-2246
(203) 397-3100
(203) 254-4126

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
002766
CT
363LG0600X
Gerontology Nurse Practitioner
002766
CT

Other

Enumeration date
12/11/2006
Last updated
04/27/2014
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