Individual
SUSAN M DENISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6000
(203) 382-2954
Mailing address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
(203) 330-6008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
000281
CT
363LF0000X
Family Nurse Practitioner
Primary
000281
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XR3207
HEALTH NET
CT
Enumeration date
03/08/2007
Last updated
07/21/2022
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