Individual
MARIELLE HELLERUD KHUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
39 FIFTH ST, NORWALK, CT 06855-2402
(178) 145-4677
Mailing address
39 FIFTH ST, NORWALK, CT 06855-2402
(178) 145-4677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020090994
CT
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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