Individual
AUSTIN HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(293) 384-3000
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
167365
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
07/20/2021
Last updated
07/20/2021
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