Individual provider · Type 1 NPI
Nicole Maletta
Psychiatric/Mental Health Nurse Practitioner · New Haven, CT
NPI number
1104265149
Active
Practice location
184 Liberty St
New Haven, CT 06519-1625
Mailing address
13 Hemlock Ct
Durham, CT 06422-1405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 104299 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5421 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104265149
Nicole Maletta's National Provider Identifier is 1104265149, issued on Jun 24, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Haven, CT. The record was last updated on Aug 6, 2013.