Individual
MS. KELLY PATRICIA VANASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
270 CONGRESS AVE, NEW HAVEN, CT 06519-1403
(860) 861-5107
Mailing address
270 CONGRESS AVE, NEW HAVEN, CT 06519-1403
(203) 584-1463
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10297
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
121379
CT
Other
Enumeration date
12/06/2021
Last updated
02/04/2022
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