Individual
SUSAN MARY PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
267 GRANT STREET, BRIDGEPORT, CT 06610-2805
(203) 384-4677
(203) 688-9638
Mailing address
85 BARNES RD STE 202, WALLINGFORD, CT 06492-1832
(203) 309-0070
(203) 309-0070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7827
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
7827
CT
Other
Enumeration date
11/13/2018
Last updated
02/13/2019
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