Individual provider · Type 1 NPI

Stephanie Fassu Noulaheu, APRN

Family Nurse Practitioner · New London, CT

NPI number 1578818498 Active

Practice location

1 Shaws Cv
New London, CT 06320-4902

Mailing address

575 Main St Fl 2, Attn: Credentialing Dpt
Middletown, CT 06457-2845

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X774686 (CA)
Family Nurse Practitioner Primary 363LF0000X005102 (CT)
Registered Nurse 163W00000X107156 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1578818498

Stephanie Fassu Noulaheu, APRN's National Provider Identifier is 1578818498, issued on Jul 17, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New London, CT. The record was last updated on Oct 22, 2012.