Individual
MARISSA CONSTANCE- TAFT BAYERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 GEORGE ST, SUITE 120, NEW HAVEN, CT 06511-6624
(978) 505-7785
Mailing address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
121611
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
006650
CT
Other
Enumeration date
05/03/2016
Last updated
08/24/2016
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