Individual
MRS. ELISABETH HENVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
226 MILL HILL AVE, BRIDGEPORT, CT 06610-2826
(203) 384-3388
(203) 384-4034
Mailing address
23 ELIZABETH ST, BETHEL, CT 06801-2109
(203) 948-5634
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
005876
CT
Other
Enumeration date
10/17/2014
Last updated
10/19/2014
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