Individual
MARQUE A SETEVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 GROTON LONG POINT RD, GROTON, CT 06340
(860) 446-9543
Mailing address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN002592
CT
Other
Enumeration date
08/18/2006
Last updated
10/21/2011
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