Individual
MARIA HASLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 WESTERN BLVD STE 104, GLASTONBURY, CT 06033-1276
(860) 633-2487
(860) 633-1793
Mailing address
896 LONG HILL RD, MIDDLETOWN, CT 06457-5063
(860) 992-9226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153490
CT
163W00000X
Registered Nurse
RN2351869
MA
363LA2200X
Adult Health Nurse Practitioner
8952
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
8952
CT
363LP2300X
Primary Care Nurse Practitioner
RN2351869
MA
Other
Enumeration date
04/09/2020
Last updated
12/11/2024
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