Individual
KATE E MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 PARK ST STE 803, NEW HAVEN, CT 06504-8901
(203) 688-7952
Mailing address
20 YORK ST # WP8, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
071270
CT
363L00000X
Nurse Practitioner
Primary
004160
CT
363LP0200X
Pediatric Nurse Practitioner
004160
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041604
—
CT
Enumeration date
06/08/2009
Last updated
03/06/2018
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