Individual provider · Type 1 NPI

Lissy Davis Poulose, APRN

Adult Health Nurse Practitioner · Monroe, CT

NPI number 1790937670 Active

Practice location

324 Elm St, Ste 202B
Monroe, CT 06468-2284

Fax (203) 907-1234

Other practice locations

  • 157 Church St Fl 19, New Haven, CT 06510-2100 · (866) 949-0108

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X003902 (CT)

Adult Health Nurse Practitioner: Definition to come...

25 other providers at this address

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About NPI 1790937670

Lissy Davis Poulose, APRN's National Provider Identifier is 1790937670, issued on Oct 22, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Monroe, CT. The record was last updated on Jan 21, 2022.