Individual
MS. MARY LINDSAY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
270 CONGRESS AVE, NEW HAVEN, CT 06519-1403
(120) 390-1018
Mailing address
270 CONGRESS AVE, NEW HAVEN, CT 06519-1403
(120) 390-1018
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
004169
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
09/26/2006
Last updated
11/18/2010
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