Individual provider · Type 1 NPI
Marie Hetherington, APRN
Acute Care Nurse Practitioner · New Haven, CT
NPI number
1245563055
Active
Practice location
333 Cedar St # TE2
New Haven, CT 06510-3206
Fax (203) 737-1688
Mailing address
PO Box 208042, South Pavilion 2-213
New Haven, CT 06520-8042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 004189 (CT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1245563055
Marie Hetherington, APRN's National Provider Identifier is 1245563055, issued on Sep 11, 2009. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New Haven, CT. The record was last updated on Jul 18, 2016.