Individual
SUSAN KRISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3180 MAIN ST, SUITE 202, BRIDGEPORT, CT 06606-4237
(203) 374-0404
(203) 372-4167
Mailing address
3180 MAIN ST, SUITE 202, BRIDGEPORT, CT 06606-4237
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
389
CT
Other
Enumeration date
03/09/2014
Last updated
03/09/2014
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