Individual
MRS. MARISSA LYNN MESIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, IBCLC
Contact information
Practice address
1073 N BENSON RD, FAIRFIELD, CT 06824-5171
(203) 254-4000
Mailing address
1073 N BENSON RD, FAIRFIELD, CT 06824-5171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
085393
CT
163WL0100X
Lactation Consultant (Registered Nurse)
085393
CT
163WL0100X
Lactation Consultant (Registered Nurse)
L-85581
CT
363LF0000X
Family Nurse Practitioner
Primary
004858
CT
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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