Individual
MRS. ANGELA KATIE MERCURIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 CHAPEL ST, NEW HAVEN, CT 06511-4411
(203) 688-3540
Mailing address
196 WORMWOOD RD, FAIRFIELD, CT 06824
(203) 887-4491
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
073584
CT
Other
Enumeration date
09/17/2010
Last updated
11/04/2015
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