Individual provider · Type 1 NPI

Elise Hettenbach

Family Nurse Practitioner · New Haven, CT

NPI number 1104432996 Active

Practice location

789 Howard Ave
New Haven, CT 06519-1304

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9191 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1104432996

Elise Hettenbach's National Provider Identifier is 1104432996, issued on Sep 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Haven, CT. The record was last updated on Apr 12, 2021.