Individual provider · Type 1 NPI

Autumn Elaine Deneault

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1568302958 Active

Practice location

425 George St
New Haven, CT 06511-5410

Call (203) 688-3182 Map

Mailing address

266 Knollwood Rd
Manchester, CT 06042-2403

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568302958

Autumn Elaine Deneault's National Provider Identifier is 1568302958, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Mar 30, 2026.