Individual
ELIZABETH DARLENE HAYLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
245 ALVORD PARK RD STE A2, TORRINGTON, CT 06790-7217
(860) 482-8539
(860) 482-0258
Mailing address
114 ALLEN ST, TERRYVILLE, CT 06786-6405
(860) 371-8662
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4390
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004197738
—
CT
Enumeration date
01/27/2019
Last updated
06/17/2021
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