Individual
MADISON FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 VERNON ST W, MANCHESTER, CT 06042-2209
(860) 422-5579
Mailing address
111 VERNON ST W, MANCHESTER, CT 06042-2209
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
134447
CT
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
134447
CT
163WM0102X
Maternal Newborn Registered Nurse
134447
CT
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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