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MRS. SUSAN ANTOINETTE PAPPAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
88 GRANDVIEW AVE, WATERBURY, CT 06708-2509
(203) 573-7265
Mailing address
582 MAIN ST S, BETHLEHEM, CT 06751-2301
(203) 233-1723

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8786
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8786
APRN LICENSE
CT
Enumeration date
03/30/2020
Last updated
03/30/2020
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